Wing-Kong Kwan, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

50493 Issued in CA

Practice address

12101 Central Ave
Chino, CA 91710-2421

Phone

(909) 591-3911

NPI assigned

Apr 12, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

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.

• Garfield Beach CVS LLC

  • Pharmacy
  • Chino, CA
  • NPI 1376587642
  NPD (past)
• Garfield Beach CVS, L.L.C.

  • Pharmacy
  • Jurupa Valley, CA
  • NPI 1780573113
  NPD (past)

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460419200000",
    "number": "1609230002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12101 CENTRAL AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917102421",
            "telephone_number": "909-591-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12101 CENTRAL AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917102421",
            "telephone_number": "909-591-3911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWAN",
        "first_name": "WING-KONG",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-12",
        "last_updated": "2016-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "50493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Paul Krachenfels Jr., D.O.
• Gomathi Krishnan
• David Michael Kulick, LCSW
• Sarasa Kumar, M.D.
• Anita Kundi, D.O
• Jenny Kwon
• Christina La, O.D.
• Lacare Transport Inc
• Chloe Catherine Coo Lacson, RDH, RDHAP, DDS
• Gary T. Lai, M.D.

• Pharmacist in Chino, CA
• Providers in Chino, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.

Verify at the official NPI Registry.