Active NPIIndividual provider

Jackie Wong

Pharmacist in Mahopac, New York

NPI Number1033751367
Practice location
159 Route 6, Mahopac, NY 10541-2204
Fax
—
Last updated
October 8, 2019

Jackie Wong is a Pharmacist based in Mahopac, NY. Jackie Wong practices in Mahopac, NY. The NPI Number for Jackie Wong is 1033751367 and holds a License No. 065675 (NY). The current practice location address for Jackie Wong is 159 Route 6, Mahopac, NY 10541-2204 and can be reached out via phone at 845-628-5299.

Provider Profile Details

NPI Number
1033751367
Provider Name
Jackie Wong
Provider Entity Type
Individual
Gender
Male
Address
159 Route 6, Mahopac, NY 10541-2204
Phone Number
845-628-5299
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
No
Provider Enumeration Date
October 8, 2019
Last Update Date
October 8, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
159 Route 6
Mahopac, NY 10541-2204
Zip
10541-2204
Phone Number
845-628-5299
Mahopac, NY 10541Get directions →

Provider Business Mailing Address Details

Address
159 Route 6
Mahopac, NY 10541-2204
City
Mahopac
State
NY
Zip
10541-2204
Phone Number
845-628-5299

License Information

License Number
065675
License State
NY
Taxonomy
Pharmacist · 183500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jackie Wong?

The NPI number of Jackie Wong is 1033751367. It was assigned on October 8, 2019 and is currently active in the NPPES registry.

What is the specialty of Jackie Wong?

Jackie Wong is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in NY under license number 065675.

Where does Jackie Wong practice?

The practice location is 159 Route 6, Mahopac, NY 10541-2204. The office can be reached at 845-628-5299 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033751367 directly on the NPPES registry website.

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