Active NPI
Amanda Wong, PHARMD
- Pharmacist
- Sherman Oaks, CA
National Provider Identifier
1487295226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 63569
- Practice address
- 4929 Van Nuys Blvd
Sherman Oaks, CA 91403-1702 - Phone
- (818) 981-7111
- NPI assigned
- Oct 2, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 79603 | CA | |
| Pharmacist | 183500000X | 63569 | TX | Primary |
Addresses
Primary practice location
4929 Van Nuys Blvd
Sherman Oaks, CA 91403-1702
Mailing address
1011 S Serrano Ave Apt 114
Los Angeles, CA 90006-3862
Phone (469) 231-8563
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 |
|---|---|---|---|
| 63569 | TX | MD | Mental Health Counselor |
| 79603 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748563200000",
"number": "1487295226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1011 S SERRANO AVE APT 114",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900063862",
"telephone_number": "469-231-8563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4929 VAN NUYS BLVD",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914031702",
"telephone_number": "818-981-7111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "AMANDA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-02",
"last_updated": "2025-05-30",
"certification_date": "2025-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "79603",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "63569",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sherman Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.