Active NPI
Queenie Wong, PHARMD
- Pharmacist
- Corona, CA
National Provider Identifier
1184437774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 48769
- Practice address
- 215 Deininger Cir
Corona, CA 92878-3207 - Phone
- (800) 607-6861
- NPI assigned
- Jan 29, 2025
- 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 | 48769 | CA | Primary |
Addresses
Primary practice location
215 Deininger Cir
Corona, CA 92878-3207
Mailing address
36 Honey Locust
Irvine, CA 92606-4505
Phone (949) 923-8815
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 |
|---|---|---|---|
| 48769 | CA | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Costco Wholesale Corporation | Current | Accepting new patients |
Locations
215 Deininger Cir
Corona, CA 92878
Phone (800) 607-6861
Organizations & group practices 1
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.
-
- Mail Order Pharmacy
- Corona, CA
- NPI 1700026028
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738108800000",
"number": "1184437774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 HONEY LOCUST",
"city": "IRVINE",
"state": "CA",
"postal_code": "926064505",
"telephone_number": "949-923-8815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 DEININGER CIR",
"city": "CORONA",
"state": "CA",
"postal_code": "928783207",
"telephone_number": "800-607-6861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "QUEENIE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-29",
"last_updated": "2025-01-29",
"certification_date": "2025-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "48769",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.