Active NPI
Jeremy Gai Haing Wong, PHARMD
- Pharmacist
- Fresno, CA
National Provider Identifier
1467017970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 76956
- Practice address
- 4987 N Fresno St
Fresno, CA 93726-0352 - Phone
- (559) 227-7137
- NPI assigned
- May 9, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 76956 | CA | Primary |
Addresses
Primary practice location
4987 N Fresno St
Fresno, CA 93726-0352
Mailing address
127 Cindy Ave
Clovis, CA 93612-5722
Phone (559) 392-4497
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garfield Beach CVS, L.L.C. | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557360000000",
"number": "1467017970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 CINDY AVE",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936125722",
"telephone_number": "559-392-4497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4987 N FRESNO ST",
"city": "FRESNO",
"state": "CA",
"postal_code": "937260352",
"telephone_number": "559-227-7137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "JEREMY",
"middle_name": "GAI HAING",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-09",
"last_updated": "2019-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "76956",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.