Active NPI
Teck Chen Wong, PHARMD
- Pharmacist
- The Villages, FL
National Provider Identifier
1871990242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS60468
- Practice address
- 400 Colony Blvd
The Villages, FL 32162-6086 - Phone
- (352) 205-7010
- NPI assigned
- Dec 1, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 24996 | MD | |
| Pharmacist | 183500000X | 6279 | PR | |
| Pharmacist | 183500000X | PS60468 | FL | Primary |
Addresses
Primary practice location
400 Colony Blvd
The Villages, FL 32162-6086
Mailing address
400 Colony Blvd
The Villages, FL 32162-6086
Phone (352) 205-7010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PS60468 | Other | FL | BOP FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rxm.11329@store.walgreens.com | WALGREEN CO |
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 |
|---|---|---|---|
| 6279 | PR | MD | Counseling Psychologist |
| 24996 | MD | MD | Social Worker |
| PS60468 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
400 Colony Blvd
The Villages, FL 32162
Phone (352) 205-7010
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 and National Provider Directory roles.
-
- Pharmacy
- The Villages, FL
- NPI 1376719575
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672617600000",
"number": "1871990242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 COLONY BLVD",
"city": "THE VILLAGES",
"state": "FL",
"postal_code": "321626086",
"telephone_number": "352-205-7010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 COLONY BLVD",
"city": "THE VILLAGES",
"state": "FL",
"postal_code": "321626086",
"telephone_number": "352-205-7010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN WONG",
"first_name": "TECK",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-12-01",
"last_updated": "2023-01-02",
"certification_date": "2023-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "24996",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "6279",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS60468",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOP FL",
"identifier": "PS60468",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rxm.11329@store.walgreens.com",
"affiliation": "Y",
"affiliationName": "WALGREEN CO",
"address_1": "400 Colony Blvd",
"city": "The Villages",
"state": "FL",
"country_code": "US",
"postal_code": "321626086",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in The Villages, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.