Active NPI
Jennifer Wong, PHARMD
- Pharmacist
- Chamblee, GA
National Provider Identifier
1518619642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH032482
- Practice address
- 4897 Buford Hwy Ste 100
Chamblee, GA 30341-3667 - Phone
- (770) 676-7860
- NPI assigned
- Jan 20, 2022
- Last updated
- Jan 20, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH032482 | GA | Primary |
Addresses
Primary practice location
4897 Buford Hwy Ste 100
Chamblee, GA 30341-3667
Mailing address
140 Vintage Club CT
Duluth, GA 30097-2075
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 |
|---|---|---|---|
| RPH032482 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642636800000",
"number": "1518619642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 VINTAGE CLUB CT",
"city": "DULUTH",
"state": "GA",
"postal_code": "300972075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4897 BUFORD HWY STE 100",
"city": "CHAMBLEE",
"state": "GA",
"postal_code": "303413667",
"telephone_number": "770-676-7860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "JENNIFER",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-20",
"last_updated": "2022-01-20",
"certification_date": "2022-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH032482",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chamblee, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.