Active NPI
William Koong
- Pharmacist
- Westminster, CA
National Provider Identifier
1649715152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 75978
- Practice address
- 13701 Beach Blvd Ste A2
Westminster, CA 92683-3201 - Phone
- (714) 373-0214
- Fax
- (714) 373-0839
- NPI assigned
- Dec 20, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 75978 | CA | Primary |
Addresses
Primary practice location
13701 Beach Blvd Ste A2
Westminster, CA 92683-3201
Mailing address
13701 Beach Blvd Ste A2
Westminster, CA 92683-3201
Phone (714) 373-0214
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
| License | State | Type | Specialty |
|---|---|---|---|
| 75978 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theo Pharmaceuticals 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482192000000",
"number": "1649715152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13701 BEACH BLVD STE A2",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926833201",
"telephone_number": "714-373-0214",
"fax_number": "714-373-0839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13701 BEACH BLVD STE A2",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926833201",
"telephone_number": "714-373-0214",
"fax_number": "714-373-0839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOONG",
"first_name": "WILLIAM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-12-20",
"last_updated": "2016-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "75978",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westminster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.