Active NPI
Lisa Denton Wong, RPH
- Pharmacist
- Tucson, AZ
National Provider Identifier
1902046535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S007051
- Practice address
- 3901 W Costco Dr
Tucson, AZ 85741-2864 - Phone
- (520) 797-8190
- Fax
- (520) 797-4637
- NPI assigned
- Feb 22, 2009
- 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 | S007051 | AZ | Primary |
Addresses
Primary practice location
3901 W Costco Dr
Tucson, AZ 85741-2864
Mailing address
3901 W Costco Dr
Tucson, AZ 85741-2864
Phone (520) 797-8190
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S007051 | AZ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235260800000",
"number": "1902046535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3901 W COSTCO DR",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857412864",
"telephone_number": "520-797-8190",
"fax_number": "520-797-4637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 W COSTCO DR",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857412864",
"telephone_number": "520-797-8190",
"fax_number": "520-797-4637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "LISA",
"middle_name": "DENTON",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-22",
"last_updated": "2009-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S007051",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.