Active NPI
Serena Wong, PHARMD
- Pharmacist
- Stoughton, MA
National Provider Identifier
1447036702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH27374
- Practice address
- 100 Technology Center Dr Ste 600
Stoughton, MA 02072-4749 - Phone
- (781) 566-5066
- NPI assigned
- Sep 4, 2023
- 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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | S016873 | AZ | |
| Pharmacist | 183500000X | PHA.0023248 | CO | |
| Pharmacist | 183500000X | 5302047746 | MI | |
| Pharmacist | 183500000X | 21835 | NV | |
| Pharmacist | 183500000X | 41988 | SC | |
| Pharmacist | 183500000X | 68161 | TX | |
| Pharmacist | 183500000X | PH27374 | MA | Primary |
Addresses
Primary practice location
100 Technology Center Dr Ste 600
Stoughton, MA 02072-4749
Mailing address
287 Everett St Apt 2
Allston, MA 02134-1240
Phone (508) 397-7009
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 |
|---|---|---|---|
| 68161 | TX | MD | Mental Health Counselor |
| S016873 | AZ | MD | Pharmacist |
| PHA.0023248 | CO | MD | Pharmacist |
| PH27374 | MA | MD | Pharmacist |
| 5302047746 | MI | MD | Pharmacist |
| 21835 | NV | MD | Pharmacist |
| 41988 | SC | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693785600000",
"number": "1447036702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "287 EVERETT ST APT 2",
"city": "ALLSTON",
"state": "MA",
"postal_code": "021341240",
"telephone_number": "508-397-7009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 TECHNOLOGY CENTER DR STE 600",
"city": "STOUGHTON",
"state": "MA",
"postal_code": "020724749",
"telephone_number": "781-566-5066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "SERENA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-04",
"last_updated": "2023-09-04",
"certification_date": "2023-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S016873",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "PHA.0023248",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302047746",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "21835",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "41988",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "68161",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH27374",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stoughton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.