Early Light Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

EARLY LIGHT PHARMACY LLC

Practice address

1746 N Milpitas Blvd # 2
Milpitas, CA 95035-2713

Phone

(408) 780-2882

NPI assigned

May 22, 2024

Last updated

Jul 27, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Wing Hang Virginia WongNPI 1902419815

Title

Owner

Phone

(408) 780-2882

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Wing Hang Virginia Wong

  • Pharmacist
  • Milpitas, CA
  • NPI 1902419815
  NPD Authorized official

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

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753574400000",
    "number": "1407695158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1746 N MILPITAS BLVD # 2",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950352713",
            "telephone_number": "408-780-2882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1746 N MILPITAS BLVD # 2",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950352713",
            "telephone_number": "408-780-2882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARLY LIGHT PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-22",
        "last_updated": "2025-07-27",
        "certification_date": "2025-07-27",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "WING HANG VIRGINIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-780-2882"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in Milpitas, CA
• Providers in Milpitas, 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 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.