Jimmy F Wong, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

48768 Issued in CA

Practice address

215 Deininger Cir Ste a
Corona, CA 92878-3207

Phone

(866) 443-0060

Fax

(866) 443-0066

NPI assigned

Feb 4, 2009

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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.

• Costco Wholesale Corporation

  • Specialty Pharmacy
  • Corona, CA
  • NPI 1659504595
  NPD

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

{
    "created_epoch": "1233705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615507200000",
    "number": "1073751632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 DEININGER CIR STE A",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928783207",
            "telephone_number": "866-443-0060",
            "fax_number": "866-443-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 DEININGER CIR STE A",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928783207",
            "telephone_number": "866-443-0060",
            "fax_number": "866-443-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "JIMMY",
        "middle_name": "F",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-04",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "48768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Womens Institute for Infertility and Reproductive Medicine a Med
• Wong & Pham DDS, Inc.
• David J. Loh Wong, D.D.S.
• Felix King Lok Wong, OD
• Gavin Wong, PHARMCIST
• Pauline Pham Wong, DDS
• Queenie Wong, PHARMD
• Wilson Wong, RPH
• Tameira Woods-Bellamy
• Allegra Woods

• Pharmacist in Corona, CA
• Providers in Corona, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; 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.