Individual provider Active NPI

Adina Wong, PHARM D

  • Pharmacist
  • Plano, TX
National Provider Identifier
1053952887
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
61812 Issued in TX
Practice address
6205 Coit Rd Ste 356
Plano, TX 75024-5491
Phone
(469) 543-0199
Fax
(469) 543-0194
NPI assigned
Oct 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 61812 TX Primary

Addresses

Primary practice location

6205 Coit Rd Ste 356
Plano, TX 75024-5491

Mailing address

6205 Coit Rd Ste 356
Plano, TX 75024-5491
Phone (469) 543-0199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
61812TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
986 Specialty Pharmacy 3 Inc CurrentSince Oct 6, 2019 Accepting new patients

Locations

6205 Coit Rd
Ste 356
Plano, TX 75024
Phone (469) 543-0199

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1569974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1053952887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6205 COIT RD STE 356",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750245491",
            "telephone_number": "469-543-0199",
            "fax_number": "469-543-0194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6205 COIT RD STE 356",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750245491",
            "telephone_number": "469-543-0199",
            "fax_number": "469-543-0194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "ADINA",
        "name_prefix": "Miss",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-02",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "61812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.