Active NPI
Megan Kwong
- Pharmacist
- Martinez, CA
National Provider Identifier
1083336317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- P10289
- Practice address
- 150 Muir Rd
Martinez, CA 94553-4668 - Phone
- (916) 843-9357
- NPI assigned
- Sep 14, 2022
- Sex
- Female
- 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 | P10289 | ID | Primary |
Addresses
Primary practice location
150 Muir Rd
Martinez, CA 94553-4668
Mailing address
5613 Delcliff Cir
Sacramento, CA 95822-2455
Other practice location 1
10535 Hospital Way
Mather, CA 95655-4200
Phone (916) 843-9357
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P10289 | ID | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663113600000",
"number": "1083336317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5613 DELCLIFF CIR",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958222455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 MUIR RD",
"city": "MARTINEZ",
"state": "CA",
"postal_code": "945534668",
"telephone_number": "916-843-9357"
}
],
"practiceLocations": [
{
"address_1": "10535 Hospital Way",
"address_purpose": "LOCATION",
"city": "Mather",
"state": "CA",
"postal_code": "956554200",
"country_code": "US",
"telephone_number": "916-843-9357",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KWONG",
"first_name": "MEGAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-14",
"last_updated": "2022-09-14",
"certification_date": "2022-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P10289",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Martinez, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.