Individual provider Active NPI

Wing Hang Virginia Wong

  • Pharmacist
  • Milpitas, CA
National Provider Identifier
1902419815
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
58445 Issued in CA
Practice address
1746 N Milpitas Blvd # 2
Milpitas, CA 95035-2713
Phone
(617) 459-0438
NPI assigned
Aug 29, 2020
Last updated
Jun 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 58445 CA Primary

Addresses

Primary practice location

1746 N Milpitas Blvd # 2
Milpitas, CA 95035-2713

Mailing address

1746 N Milpitas Blvd # 2
Milpitas, CA 95035-2713

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

LicenseStateTypeSpecialty
58445CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Early Light Pharmacy LLC CurrentSince May 1, 2024 Accepting new patients
Early Light Pharmacy LLC CurrentSince Jul 21, 2024 Accepting new patients
Jade Pharmacy Inc PastSince Sep 1, 2020 Accepting new patients

Locations

1746 N Milpitas Blvd
#2
Milpitas, CA 95035
Phone (408) 780-2882

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1598659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1902419815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1746 N MILPITAS BLVD # 2",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950352713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1746 N MILPITAS BLVD # 2",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950352713",
            "telephone_number": "617-459-0438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "WING HANG VIRGINIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-29",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "58445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milpitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.