Active NPI
Melissa Wong, PHARM D
- Pharmacist
- Riverside, CA
National Provider Identifier
1235417445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 50402
- Practice address
- 8938 Trautwein Rd
Riverside, CA 92508-9401 - Phone
- (951) 656-3394
- Fax
- (951) 656-3094
- NPI assigned
- Jul 22, 2011
- Last updated
- May 8, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | 50402 | CA | Primary |
Addresses
Primary practice location
8938 Trautwein Rd
Riverside, CA 92508-9401
Mailing address
39755 Date St Ste 207
Murrieta, CA 92563-2008
Phone (951) 238-0546
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 |
|---|---|---|---|
| 50402 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albertsons LLC | Past | Accepting new patients | |
| Albertsons LLC | 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": "1311292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557273600000",
"number": "1235417445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39755 DATE ST STE 207",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925632008",
"telephone_number": "951-238-0546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8938 TRAUTWEIN RD",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925089401",
"telephone_number": "951-656-3394",
"fax_number": "951-656-3094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "MELISSA",
"name_prefix": "Mrs.",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-22",
"last_updated": "2019-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "50402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.