Sandra Lynn Wong, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

38876 Issued in CA

Practice address

3380 Coach LN
Cameron Park, CA 95682-8454

Phone

(530) 676-6938

Fax

(530) 676-6942

NPI assigned

Nov 28, 2011

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Safeway Inc

  • Community/Retail Pharmacy
  • Cameron Park, CA
  • NPI 1558307165
  NPD (past)
• Safeway Inc

  • Community/Retail Pharmacy
  • Queen Creek, AZ
  • NPI 1730040973
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 28, 2011.

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322438400000",
    "number": "1447527072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3380 COACH LN",
            "city": "CAMERON PARK",
            "state": "CA",
            "postal_code": "956828454",
            "telephone_number": "530-676-6938",
            "fax_number": "530-676-6942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3380 COACH LN",
            "city": "CAMERON PARK",
            "state": "CA",
            "postal_code": "956828454",
            "telephone_number": "530-676-6938",
            "fax_number": "530-676-6942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "SANDRA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-28",
        "last_updated": "2011-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "38876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linn Douglas Williamson
• Winnie Lei, OD, Inc
• Marlene Woertz, M.A., L.M.F.T.
• Bradley John Wojcik, PHARM D
• Tatiana Wolf
• Ker Yang, PHARMD
• Yana Yaroshevich
• David Vaughn Young, D.C.
• Rebecca Young, MSN, RN, CPN
• PJ Zaramskas, L.AC.

• All providers in Cameron Park, CA
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.