Stephen Shing Wong

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY40590 Issued in CA

Legal business name

STEPHEN SHING WONG

Practice address

4600 47TH Ave
Ste 110
Sacramento, CA 95824-3923

Phone

(916) 428-7500

Fax

(916) 421-0506

NPI assigned

Nov 3, 2006

Organization subpart

No

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

Authorized official

Name

Stephen Wong

Title

Owner Phcst

Phone

(916) 428-7500

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• MASON PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406246400000",
    "number": "1194804864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 47TH AVE",
            "address_2": "STE 110",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958243923",
            "telephone_number": "916-428-7500",
            "fax_number": "916-421-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 47TH AVE",
            "address_2": "STE 110",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958243923",
            "telephone_number": "916-428-7500",
            "fax_number": "916-421-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN SHING WONG",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2014-07-25",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER PHCST",
        "authorized_official_telephone_number": "916-428-7500"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY40590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA405900",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2082997",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MASON PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephen G. Hiuga, M.D., Inc.
• Stephen Ira Stark, M.D., Inc
• Stephen M Huppert, DDS, a Dental Corp
• Stephen M Nagy II MD Inc
• Stephen N Fisher MD a Medical Corporation
• Merin M Stephen, M.D.
• Russell Dwayne Stephen
• Deanca Lynette Stephens
• Deborah Ann Stephens
• Fallon Stephens

• Community/Retail Pharmacy in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.