Individual provider Active NPI

Wingkin Dong

  • Pharmacist
  • Rowland Heights, CA
National Provider Identifier
1629789110
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH47117 Issued in CA
Practice address
19766 Colima Road
Rowland Heights, CA 91748-3265
Phone
(909) 598-9885
Fax
(909) 598-8755
NPI assigned
Dec 6, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH47117 CA Primary

Addresses

Primary practice location

19766 Colima Road
Rowland Heights, CA 91748-3265

Mailing address

19766 Colima Road
Rowland Heights, CA 91748-3265
Phone (909) 598-9885

Other identifiers 1

IdentifierTypeStateIssuer
PHY44120MedicaidCA

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

State licenses

LicenseStateTypeSpecialty
RPH47117CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
California Pharmaceutical Supply, Inc CurrentSince Dec 13, 2022 Accepting new patients

Locations

19766 Colima Rd
Rowland Heights, CA 91748
Phone (909) 598-9885

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1670284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1629789110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19766 COLIMA ROAD",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917483265",
            "telephone_number": "909-598-9885",
            "fax_number": "909-598-8755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19766 COLIMA ROAD",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917483265",
            "telephone_number": "909-598-9885",
            "fax_number": "909-598-8755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONG",
        "first_name": "WINGKIN",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-06",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH47117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHY44120",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rowland Heights, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.

Verify at the official NPI Registry.