Active NPI
Magaly Wong
- Pharmacist
- Marietta, GA
National Provider Identifier
1306212626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH028239
- Practice address
- 3905 Due West Rd NW
Marietta, GA 30064-1019 - Phone
- (167) 829-0574
- NPI assigned
- Aug 20, 2015
- Last updated
- Aug 20, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH028239 | GA | Primary |
| Pharmacist | 183500000X | PS46507 | FL |
Addresses
Primary practice location
3905 Due West Rd NW
Marietta, GA 30064-1019
Mailing address
4701 Karls Gate Dr
Marietta, GA 30068-1624
Phone (352) 281-9436
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS46507 | FL | MD | Pharmacist |
| RPH028239 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440028800000",
"number": "1306212626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4701 KARLS GATE DR",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300681624",
"telephone_number": "352-281-9436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3905 DUE WEST RD NW",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300641019",
"telephone_number": "167-829-0574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "MAGALY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-20",
"last_updated": "2015-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH028239",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS46507",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.