DR. JERRY STEVEN WONG (NPI# 1134334642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134334642 |
| Entity Type | Individual |
| Full Name | DR. JERRY STEVEN WONG |
| Credential | PHARM.D. |
| Practice Address |
1107 Gables Dr Birmingham AL 35244-2852 |
| Practice Telephone | 2057331597 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | PS35145 | FL | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 14067 | AL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285935585 | Jerry Thwin Wong | Pathology | 1500 East Duarte Road, Duarte, CA 91010 | 2010-11-03 |
| 1881734846 | Jerry Yee Wong | Dentist | 5631 Telephone Rd, Suite A, Houston, TX 77087-4485 | 2007-02-07 |
| Street Address |
1107 GABLES DR |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35244-2852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720691991 | Husam Jebril | Pharmacist | 5445 Park Side Road, Hoover, AL 35244 | 2020-08-27 |
| 1588272546 | Tyana Thomas | Behavior Technician | 1820 Southpark Dr, Hoover, Al 35244, Hoover, AL 35244 | 2020-07-16 |
| 1912520115 | Magic City Physical Therapy | Home Health | 1217 Willow Leaf Circle, Birmingham, AL 35244 | 2020-05-21 |
| 1851941660 | Carehere LLC | Family Medicine | Carehere Clinic- Mercedes Hoover, 130 Riverchase Parkway East, Hoover, AL 35244 | 2019-09-13 |
| 1033690888 | Danielle Waldrep Rich | Speech-Language Pathologist | 605 Russet Lake Drive, Hoover, AL 35244 | 2018-08-28 |
| 1699253559 | Lauren M Martinez | Social Worker | 2524 Valleydale Rd. Suite 100, Birmingham, AL 35244 | 2018-08-02 |
| 1982110284 | Regenerative Medical Institute for Pain & Neuropathy, LLC | Plastic Surgery | 1849 Data Dr Ste 1, Hoover, AL 35244 | 2017-12-21 |
| 1891217014 | Kristen Michelle Woods | Counselor | 3825 Lorna Rd Ste 240, Birmingham, AL 35244 | 2017-07-10 |
| 1255868170 | Home Sweet Home Senior Care | Home Health | 1 Chase Corporate Drive, Suite 400, Birmingham, AL 35244 | 2017-05-23 |
| 1801347455 | Megan Sarah St John | Nurse Practitioner | 2321 Alabama Highway 150, Birmingham, AL 35244 | 2016-10-19 |
| Find all providers in zip 35244 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083250443 | Donna Parker Sappington | Pharmacist | 200 Cahaba Park Cir Ste 200, Birmingham, AL 35242-8114 | 2019-11-20 |
| 1669015624 | Karen M Fleming | Pharmacist | 700 19th St S Rm 1101, Birmingham, AL 35233-1927 | 2019-10-23 |
| 1932754819 | Robert Allen Jones | Pharmacist | 1308 Narrows Point Bnd, Birmingham, AL 35242-8676 | 2019-08-07 |
| 1104383272 | Sarah Grace Betts | Pharmacist | 3009 Alisa Way, Birmingham, AL 35243-5321 | 2019-02-26 |
| 1770064321 | Joyce Yerman Coyle | Pharmacist | 5940 Trussville Crossings Pkwy, Birmingham, AL 35173 | 2018-08-22 |
| 1245719103 | Amy Michelle Douglas | Pharmacist | 4907 Caldwell Mill Ln, Birmingham, AL 35242-4507 | 2018-08-11 |
| 1891271516 | Stacey F Van Norman | Pharmacist | 2033 Forest Meadows Cir, Birmingham, AL 35242-3348 | 2018-07-16 |
| 1578058756 | Darrow Gerrell Thomas | Pharmacist | 1004 Rue Maison Apt C, Birmingham, AL 35209-7252 | 2018-06-29 |
| 1457870487 | Marilyn Bennett Pinson | Pharmacist | Walgreens Store #15144, 3020 Clairmont Ave S, Birmingham, AL 35205 | 2017-09-11 |
| 1669995882 | Taylor Childress | Pharmacist | 700 19th St S # South, Birmingham, AL 35233-1927 | 2017-07-19 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35244 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.