Active NPI
Wilson Leong, PHARM D
- Pharmacist
- Oakland, CA
National Provider Identifier
1619307253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28929
- Practice address
- 4809 McDonell Ave
Oakland, CA 94619-3005 - Phone
- (510) 482-1049
- Fax
- (510) 482-8630
- NPI assigned
- Nov 18, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 | 28929 | CA | Primary |
Addresses
Primary practice location
4809 McDonell Ave
Oakland, CA 94619-3005
Mailing address
4809 McDonell Ave
Oakland, CA 94619-3005
Phone (510) 482-1049
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384732800000",
"number": "1619307253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4809 MCDONELL AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946193005",
"telephone_number": "510-482-1049",
"fax_number": "510-482-8630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4809 MCDONELL AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946193005",
"telephone_number": "510-482-1049",
"fax_number": "510-482-8630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEONG",
"first_name": "WILSON",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-11-18",
"last_updated": "2013-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "28929",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.