Active NPI
Ernie Wong, PHARM.D.
- Pharmacist
- Satellite Beach, FL
National Provider Identifier
1073835922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS49961
- Practice address
- 1024 Highway A1A
Suite 120
Satellite Beach, FL 32937-2342 - Phone
- (321) 773-7035
- NPI assigned
- Feb 19, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS49961 | FL | Primary |
Addresses
Primary practice location
1024 Highway A1A
Suite 120
Satellite Beach, FL 32937-2342
Mailing address
1024 Highway A1A
Suite 120
Satellite Beach, FL 32937-2342
Phone (321) 773-7035
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS49961 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Publix Super Markets Inc | Past | Accepting new patients | |
| Publix Super Markets Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pharmacy
- Satellite Beach, FL
- NPI 1124273610
-
- Community/Retail Pharmacy
- Winter Haven, FL
- NPI 1760356380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430092800000",
"number": "1073835922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1024 HIGHWAY A1A",
"address_2": "SUITE 120",
"city": "SATELLITE BEACH",
"state": "FL",
"postal_code": "329372342",
"telephone_number": "321-773-7035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1024 HIGHWAY A1A",
"address_2": "SUITE 120",
"city": "SATELLITE BEACH",
"state": "FL",
"postal_code": "329372342",
"telephone_number": "321-773-7035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "ERNIE",
"name_prefix": "Mr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-19",
"last_updated": "2015-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS49961",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Satellite Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.