Active NPI
Jason Wong
- Pharmacist
- Seattle, WA
National Provider Identifier
1922251495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00046239
- Practice address
- 1300 Madison St
Seattle, WA 98104-1315 - Phone
- (206) 322-9316
- Fax
- (206) 322-9287
- NPI assigned
- Oct 28, 2008
- Last updated
- Oct 28, 2008
- Sex
- Male
- 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 | PH00046239 | WA | Primary |
Addresses
Primary practice location
1300 Madison St
Seattle, WA 98104-1315
Mailing address
1620 Belmont Ave
Apt 424
Seattle, WA 98122-2308
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
| License | State | Type | Specialty |
|---|---|---|---|
| PH00046239 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225152000000",
"number": "1922251495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1620 BELMONT AVE",
"address_2": "APT 424",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981222308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 MADISON ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981041315",
"telephone_number": "206-322-9316",
"fax_number": "206-322-9287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "JASON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-28",
"last_updated": "2008-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00046239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.