Teri Wong

Primary specialty

PharmacistTaxonomy code 183500000X

License

18958 Issued in NV

Practice address

1120 W Pioneer Blvd
Mesquite, NV 89027-8864

Phone

(702) 346-0408

Fax

(702) 346-0916

NPI assigned

Oct 28, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Walmart Inc.

  • Community/Retail Pharmacy
  • Hurricane, UT
  • NPI 1508004888
  NPD (past)
• Walmart Inc.

  • Community/Retail Pharmacy
  • Eastvale, CA
  • NPI 1770458945
  NPD (past)

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

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1497355408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 W PIONEER BLVD",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "890278864",
            "telephone_number": "702-346-0408",
            "fax_number": "702-346-0916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 W PIONEER BLVD",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "890278864",
            "telephone_number": "702-346-0408",
            "fax_number": "702-346-0916"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 W Telegraph St",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "UT",
            "postal_code": "847801541",
            "country_code": "US",
            "telephone_number": "435-628-5425",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1330 S Providence Center Dr",
            "address_purpose": "LOCATION",
            "city": "Cedar City",
            "state": "UT",
            "postal_code": "847203956",
            "country_code": "US",
            "telephone_number": "435-586-0155",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "180 N 3400 W",
            "address_purpose": "LOCATION",
            "city": "Hurricane",
            "state": "UT",
            "postal_code": "847373031",
            "country_code": "US",
            "telephone_number": "435-635-2014",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2610 Pioneer Rd",
            "address_purpose": "LOCATION",
            "city": "St George",
            "state": "UT",
            "postal_code": "847907442",
            "country_code": "US",
            "telephone_number": "435-674-5792",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG",
        "first_name": "TERI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-28",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "18958",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "7945846-1701",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Michael Wilde, PHARMD
• Stephanie Wilde
• Williams, Linda M. M. Williams, Linda M.
• Cindy M Wilson
• Kimberley Witter, AMFT
• Theresa Woolridge-Ofori, DDS
• Abraham J. Yaari, M.D.
• Tawni V Yardley, AGNP-C
• Terra Jean Zoutte

• Pharmacist in Mesquite, NV
• Providers in Mesquite, NV by specialty
• Pharmacist in Nevada

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