Wai Tai Wong, RPH, APH

Primary specialty

PharmacistTaxonomy code 183500000X

License

65080 Issued in CA

Practice address

8237 Rochester Ave Ste 120
Rancho Cucamonga, CA 91730-0717

Phone

(909) 980-0999

Fax

(909) 980-1099

NPI assigned

Jun 5, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Walter Wong Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Locations

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.

• Green Valley Pharmacy LLC

  • Community/Retail Pharmacy
  • Yucaipa, CA
  • NPI 1699122002
  NPD
• Pharmacy at the Courts LLC

  • Community/Retail Pharmacy
  • Rancho Cucamonga, CA
  • NPI 1407315997
  NPD

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

{
    "created_epoch": "1401926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1063825271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8237 ROCHESTER AVE STE 120",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917300717",
            "telephone_number": "909-980-0999",
            "fax_number": "909-980-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8237 ROCHESTER AVE STE 120",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917300717",
            "telephone_number": "909-980-0999",
            "fax_number": "909-980-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "WAI TAI",
        "credential": "RPH, APH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-05",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "65080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WALTER",
            "last_name": "WONG",
            "credential": "RPH, APH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Alex Wong
• Chris Wong
• Corinne Francine Wong, OD
• Eric Shall-Kit Wong, DMD, MS
• Vivian Wong, OTR/L
• Thomas Allen Woodbury, D.O.
• Katy Lynn Woodcock
• Jayden Woodruff
• Baylie Woods
• Latricea Woods, L.M.F.T

• Pharmacist in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; 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.