Active NPI
Joanne Wong, PHARMD, RPH
- Pharmacist
- Grayslake, IL
National Provider Identifier
1750662227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051.032046
- Practice address
- 295 US Highway 45
Grayslake, IL 60030-2205 - Phone
- (847) 223-9261
- NPI assigned
- Aug 29, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051.032046 | IL | Primary |
Addresses
Primary practice location
295 US Highway 45
Grayslake, IL 60030-2205
Mailing address
1275 Huntington Dr
Mundelein, IL 60060-3228
Phone (847) 680-3474
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051.032046 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314576000000",
"number": "1750662227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1275 HUNTINGTON DR",
"city": "MUNDELEIN",
"state": "IL",
"postal_code": "600603228",
"telephone_number": "847-680-3474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "295 US HIGHWAY 45",
"city": "GRAYSLAKE",
"state": "IL",
"postal_code": "600302205",
"telephone_number": "847-223-9261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "JOANNE",
"name_prefix": "Dr.",
"credential": "PHARMD, RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-29",
"last_updated": "2011-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.032046",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grayslake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.