Active NPI
Wilson Vong, PHARMD
- Pharmacist
- Rancho Cucamonga, CA
National Provider Identifier
1528438702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 72931
- Practice address
- 9397 Haven Ave
Rancho Cucamonga, CA 91730-5336 - Phone
- (866) 393-8116
- NPI assigned
- Oct 1, 2015
- Sex
- Male
- 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 | 72931 | CA | Primary |
| Pharmacist | 183500000X | 0015190 | OR |
Addresses
Primary practice location
9397 Haven Ave
Rancho Cucamonga, CA 91730-5336
Mailing address
9397 Haven Ave
Rancho Cucamonga, CA 91730-5336
Phone (866) 393-8116
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 |
|---|---|---|---|
| 72931 | CA | MD | Pharmacist |
| 0015190 | OR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quick Care Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Retail Pharmacy
- Rancho Cucamonga, CA
- NPI 1417270612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456185600000",
"number": "1528438702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9397 HAVEN AVE",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917305336",
"telephone_number": "866-393-8116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9397 HAVEN AVE",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917305336",
"telephone_number": "866-393-8116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VONG",
"first_name": "WILSON",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-10-01",
"last_updated": "2016-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "72931",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "0015190",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.