Active NPI
Yee Wah Fong, PHARMD
- Pharmacist
- Lakewood, WA
National Provider Identifier
1891058160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00070601
- Practice address
- 11315 Bridgeport Way SW
Lakewood, WA 98499-3004 - Phone
- (253) 985-6860
- NPI assigned
- Jun 20, 2012
- Last updated
- Jun 20, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH00070601 | WA | Primary |
Addresses
Primary practice location
11315 Bridgeport Way SW
Lakewood, WA 98499-3004
Mailing address
5422 52ND Avenue CT W
University Place, WA 98467-4810
Phone (808) 382-8950
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 |
|---|---|---|---|
| PH00070601 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340150400000",
"number": "1891058160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5422 52ND AVENUE CT W",
"city": "UNIVERSITY PLACE",
"state": "WA",
"postal_code": "984674810",
"telephone_number": "808-382-8950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11315 BRIDGEPORT WAY SW",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984993004",
"telephone_number": "253-985-6860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONG",
"first_name": "YEE WAH",
"name_prefix": "Miss",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-20",
"last_updated": "2012-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00070601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.