Individual provider Active NPI

Jamie Wong

  • Pharmacist
  • New Hyde Park, NY
National Provider Identifier
1114837168
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
074249 Issued in NY
Practice address
49 Evergreen Ave
New Hyde Park, NY 11040-3949
Phone
(646) 388-2283
NPI assigned
Sep 11, 2026
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 074249 NY Primary

Addresses

Primary practice location

49 Evergreen Ave
New Hyde Park, NY 11040-3949

Mailing address

49 Evergreen Ave
New Hyde Park, NY 11040-3949

Medicare participation

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

NPI Registry JSON

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

{
    "created_epoch": "1789084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1114837168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 EVERGREEN AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110403949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 EVERGREEN AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110403949",
            "telephone_number": "646-388-2283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "JAMIE",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2026-09-11",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "074249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.