Active NPI
Shirley Wong
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- San Francisco, CA
National Provider Identifier
1740620210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 64122
- Practice address
- 995 Potrero Ave
BLDG 80, Ward 83
San Francisco, CA 94110-2859 - Phone
- (415) 206-2239
- Fax
- (415) 206-5846
- NPI assigned
- Jun 28, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 64122 | CA | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 64122 | CA | Primary |
Addresses
Primary practice location
995 Potrero Ave
BLDG 80, Ward 83
San Francisco, CA 94110-2859
Mailing address
521 Parnassus Ave
Room C-152, Box # 0622
San Francisco, CA 94143-0622
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 |
|---|---|---|---|
| 64122 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372377600000",
"number": "1740620210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "521 PARNASSUS AVE",
"address_2": "ROOM C-152, BOX # 0622",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941430622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "995 POTRERO AVE",
"address_2": "BLDG 80, WARD 83",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941102859",
"telephone_number": "415-206-2239",
"fax_number": "415-206-5846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "SHIRLEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-28",
"last_updated": "2013-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "64122",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "CA",
"license": "64122",
"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 Jun 28, 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.