WESLEY KONG (NPI# 1760764724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760764724 |
| Entity Type | Individual |
| Full Name | WESLEY KONG |
| Practice Address |
615 Broadway Millbrae CA 94030-1909 |
| Practice Telephone | 6506970166 |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2011-09-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 57566 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962602151 | Wesley G Kong | Urology | 2490 Hospital Dr Ste 210, Mountain View, CA 94040-4117 | 2007-07-25 |
| Street Address |
615 BROADWAY |
| City | MILLBRAE |
| State | CA |
| Zip Code | 94030-1909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326550690 | Daniel Hyung-sok Oh | Pharmacist | 615 Broadway, Millbrae, CA 94030-1909 | 2017-10-26 |
| 1386045961 | Denton Wong | Pharmacist | 615 Broadway, Millbrae, CA 94030-1909 | 2014-09-15 |
| 1497155675 | Nina Andrea Diez | Pharmacist | 615 Broadway, Millbrae, CA 94030-1909 | 2014-08-25 |
| 1356623243 | Anne Winne Fisher | Pharmacist | 615 Broadway, Millbrae, CA 94030-1909 | 2011-09-15 |
| 1053326322 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 615 Broadway, Millbrae, CA 94030-1909 | 2006-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922571389 | Zeyu Wang | Acupuncturist | 201 El Camino Real, Millbrae, CA 94030 | 2019-01-09 |
| 1285143578 | Michele Marie Zlatunich | Doula | 105 Lerida Avenue, Millbrae, CA 94030 | 2017-09-29 |
| 1437677531 | Optica Optometry Corporation | Optometrist | 199a Taylor Boulevard, Millbrae, CA 94030 | 2017-09-08 |
| 1912445339 | Taylor Swift | Counselor | 222 Beverly Ave, Millbrae, CA 94030 | 2017-02-06 |
| 1932338381 | Randall Craig Medefesser | Dentist | 1149 Oakwood Drive, Millbrae, CA 94030 | 2009-07-07 |
| 1568678563 | Martin David Storman | Marriage & Family Therapist | 1250 Murchison Dr, Millbrae, CA 94030 | 2007-05-15 |
| 1730393703 | Tz-jeng Yang | Acupuncturist | 199 California Dr. Suite 120 B&c, Millbrae, CA 94030 | 2007-05-09 |
| 1538218748 | Christopher Joseph Bronzini | Dentist | 101 Taylor Blvd, Millbrae, CA 94030 | 2007-01-09 |
| 1427110519 | Xuehua Peng | Acupuncturist | 474 Ei Camino Real, Suite 418, Millbrae, CA 94030 | 2006-12-14 |
| 1861551723 | Maria Valerie Pozon De Leon | Dentist | 15 El Camino Real, Millbrae, CA 94030 | 2006-12-07 |
| Find all providers in zip 94030 | ||||
| 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 |
|---|---|---|---|---|
| 1134672843 | Wei-lin Chang-lubiano | Pharmacist | 7a Hazel Ave, Millbrae, CA 94030-2434 | 2016-07-28 |
| 1447625983 | Timothy Li | Pharmacist | 39 Michael Ln, Millbrae, CA 94030-1611 | 2015-12-09 |
| 1962876433 | Anita Tom-chan | Pharmacist | 861 Hawthorne Way, Millbrae, CA 94030-3016 | 2015-11-21 |
| 1902189681 | Michael F Lee | Pharmacist | 871 Sequoia Ave, Millbrae, CA 94030-3006 | 2011-09-20 |
| 1023318524 | Janice M Ng | Pharmacist | 1206 Hillcrest Blvd, Millbrae, CA 94030-2206 | 2010-10-30 |
| 1396988242 | Janet Xinghua Chen | Pharmacist | 315 Helen Dr, Millbrae, CA 94030-1728 | 2009-04-08 |
| 1710070404 | Dino Reginald De Ranieri | Pharmacist | 911 Crestview Drive, Millbrae, CA 94030-1510 | 2006-10-02 |
| 1154968220 | Roland Norona | Pharmacist | 525 El Camino Real, Millbrae, CA 94030-2030 | 2019-12-07 |
| 1710475330 | Elaine Jau-yi Lin | Pharmacist | 45 S El Camino Real, Millbrae, CA 94030-3124 | 2018-04-30 |
| 1326550690 | Daniel Hyung-sok Oh | Pharmacist | 615 Broadway, Millbrae, CA 94030-1909 | 2017-10-26 |
| Find all providers in MILLBRAE | ||||
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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.