Carmen Wong, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH61036913 Issued in WA

Practice address

835 S Highway 395
Hermiston, OR 97838-2620

Phone

(541) 567-7805

NPI assigned

Jul 30, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Gaman Wong Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Thrifty Payless Inc

  • Community/Retail Pharmacy
  • Hermiston, OR
  • NPI 1023127313
  NPD (past)
• Thrifty Payless Inc

  • Community/Retail Pharmacy
  • Winchester, CA
  • NPI 1437874062
  NPD (past)

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

{
    "created_epoch": "1596067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1487263901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14803 SE MARCI WAY",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970158457",
            "telephone_number": "503-964-3319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 S HIGHWAY 395",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978382620",
            "telephone_number": "541-567-7805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "CARMEN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-30",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "RPH-0017757",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH61036913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GAMAN",
            "last_name": "WONG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Judith Elizabeth Witte, RN MN
• Robert A Wohlman, MD
• Bradley O Wolfe, R.PH.
• Briana Wolfe, PHARM.D.
• Helena Wolfe
• Britney Marie Wood, LMT
• Emily Wood, DPT
• Jodi Lynn Wrathall, LMT
• Zhiqing Xing, M.D.
• Yakima Valley Farm Workers Clinic

• Pharmacist in Hermiston, OR
• Providers in Hermiston, OR by specialty
• Pharmacist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; 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.