Individual provider Active NPI

Henry Bun Lok Fong, PHARM.D

  • Pharmacist
  • Puyallup, WA
National Provider Identifier
1285929331
Registry record updated Jun 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH60162018 Issued in WA
Practice address
10302 156TH St E
Puyallup, WA 98374-9321
Phone
(253) 604-1067
Fax
(253) 604-1077
NPI assigned
Jun 16, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH60162018 WA Primary

Addresses

Primary practice location

10302 156TH St E
Puyallup, WA 98374-9321

Mailing address

10302 156TH St E
Puyallup, WA 98374-9321
Phone (253) 604-1067

Other identifiers 1

IdentifierTypeStateIssuer
PH60162018OtherWASTATE LICENSE

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

LicenseStateTypeSpecialty
PH60162018WAMDPharmacist

Interoperability endpoints

  • Direct secure messaging: henry.fong.p3@direct.hpc.nextgenshare.com
  • Direct secure messaging: hfong21769@healthpoint.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308182400000",
    "number": "1285929331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10302 156TH ST E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983749321",
            "telephone_number": "253-604-1067",
            "fax_number": "253-604-1077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10302 156TH ST E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983749321",
            "telephone_number": "253-604-1067",
            "fax_number": "253-604-1077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONG",
        "first_name": "HENRY",
        "middle_name": "BUN LOK",
        "name_prefix": "Mr.",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-16",
        "last_updated": "2011-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60162018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PH60162018",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.

Verify at the official NPI Registry.