Active NPI
Elissa Yeeman Wong, PHARMD
- Pharmacist
- San Francisco, CA
National Provider Identifier
1629351309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH62168
- Practice address
- 1400 Tennessee St # 2
San Francisco, CA 94107-3421 - Phone
- (800) 874-5881
- NPI assigned
- Sep 20, 2011
- Last updated
- Sep 24, 2019
- Sex
- Female
- 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 | RPH62168 | CA | Primary |
Addresses
Primary practice location
1400 Tennessee St # 2
San Francisco, CA 94107-3421
Mailing address
1400 Tennessee St # 2
San Francisco, CA 94107-3421
Phone (800) 874-5881
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 |
|---|---|---|---|
| RPH62168 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569283200000",
"number": "1629351309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 TENNESSEE ST # 2",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941073421",
"telephone_number": "800-874-5881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 TENNESSEE ST # 2",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941073421",
"telephone_number": "800-874-5881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "ELISSA",
"middle_name": "YEEMAN",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-20",
"last_updated": "2019-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH62168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.