NPIMap

Organization Active NPI

Shumwong Corporation

  • Community/Retail Pharmacy
  • Concord, CA
National Provider Identifier
1497800825
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY30974 Issued in CA
Legal business name
SHUMWONG CORPORATION
Practice address
2485 High School Ave
Suite 114
Concord, CA 94520-1819
Phone
(925) 682-5600
Fax
(925) 682-0609
NPI assigned
Jan 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mr. Brian Randall Wong, M.S., RPHNPI 1376160531
Title
Pharmacist-in-Charge
Phone
(925) 682-5600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY30974 CA Primary

Addresses

Primary practice location

2485 High School Ave
Suite 114
Concord, CA 94520-1819

Mailing address

2485 High School Ave
Suite 114
Concord, CA 94520-1819
Phone (925) 682-5600

Other identifiers 3

IdentifierTypeStateIssuer
0550916OtherNCPDP
PHY30874OtherCAPHARMACY PERMIT
PHA308740MedicaidCA

Other names 1

  • Sycamore Medical Pharmacy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1497800825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2485 HIGH SCHOOL AVE",
            "address_2": "SUITE 114",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945201819",
            "telephone_number": "925-682-5600",
            "fax_number": "925-682-0609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2485 HIGH SCHOOL AVE",
            "address_2": "SUITE 114",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945201819",
            "telephone_number": "925-682-5600",
            "fax_number": "925-682-0609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHUMWONG CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "RANDALL",
        "authorized_official_title_or_position": "PHARMACIST-IN-CHARGE",
        "authorized_official_telephone_number": "925-682-5600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S., RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY30974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "0550916",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY PERMIT",
            "identifier": "PHY30874",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA308740",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sycamore Medical Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.