Active NPI
Liz Fong, PHARM D
- Pharmacist
- Alameda, CA
National Provider Identifier
1134400179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 042910
- Practice address
- 2300 Otis Dr
Alameda, CA 94501-5722 - Phone
- (510) 523-7043
- Fax
- (510) 523-7021
- NPI assigned
- Sep 5, 2011
- Last updated
- Sep 5, 2011
- 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 | 042910 | CA | Primary |
Addresses
Primary practice location
2300 Otis Dr
Alameda, CA 94501-5722
Mailing address
205 Avington Rd
Alameda, CA 94502-6433
Phone (510) 523-3664
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 |
|---|---|---|---|
| 042910 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315180800000",
"number": "1134400179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 AVINGTON RD",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945026433",
"telephone_number": "510-523-3664",
"fax_number": "510-523-7021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 OTIS DR",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945015722",
"telephone_number": "510-523-7043",
"fax_number": "510-523-7021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONG",
"first_name": "LIZ",
"name_prefix": "Mrs.",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-05",
"last_updated": "2011-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "042910",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alameda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.