CLARISSA WONG (NPI# 1801455365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801455365 |
| Entity Type | Individual |
| Full Name | CLARISSA WONG |
| Practice Address |
565 W Capitol Expy San Jose CA 95136-3914 |
| Practice Telephone | 4082676828 |
| Enumeration Date | 2019-06-09 |
| Last Update Date | 2019-06-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 64601 | CA | Pharmacy Service Providers |
| Street Address |
565 W CAPITOL EXPY |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95136-3914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841237278 | Lucky Stores II LLC | Pharmacy | 565 W Capitol Expy, San Jose, CA 95136-3914 | 2006-06-02 |
| 1780244277 | Mary Ngoc Tran | Pharmacist | 565 W Capitol Expy, San Jose, CA 95136-3914 | 2019-06-17 |
| 1154465235 | Save Mart Supermarkets | Pharmacy | 565 W Capitol Expy, San Jose, CA 95136-3914 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245709757 | Rahwa Ferzghi | Behavior Technician | 5300 Terner Way Apt 3102, San Jose, CA 95136 | 2018-11-14 |
| 1285110254 | Brittany Lauren Perez | Behavioral Analyst | 4501 Snell Ave Apt 208, San Jose, CA 95136 | 2018-07-12 |
| 1316466139 | Melinda Fike Vertin | Nurse Practitioner | 970 Glenridge Dr., San Jose, CA 95136 | 2017-09-12 |
| 1841712221 | Cynthia Castillo | Spec/Tech, Cardiovascular | 4742 Canyon River Court, San Josse, CA 95136 | 2017-07-07 |
| 1841609732 | Elizabeth Mary Myers | Specialist/Technologist | 385 Vista Roma Way #302, San Jose, CA 95136 | 2014-08-05 |
| 1649696717 | David W Chan | Dentist | 1095 Branham Ln., Suite #101, San Jose, CA 95136 | 2014-03-12 |
| 1811323686 | Krystle Wright | Speech-Language Pathologist | 368 Maeve Court, San Jose, CA 95136 | 2013-09-24 |
| 1043598196 | Anh-thu Huynh | Optometrist | 4807 Rue Loiret, San Jose, CA 95136 | 2011-07-22 |
| 1740437029 | Center for Autism and Related Disorders LLC | Community/Behavioral Health | 3610 Snell Ave, San Jose, CA 95136 | 2008-08-19 |
| 1366655201 | Zaidoon R. Owais | Dentist | 511 W. Capitol Expwy, San Jose, CA 95136 | 2007-05-08 |
| Find all providers in zip 95136 | ||||
| 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 |
|---|---|---|---|---|
| 1831714427 | Camille Tran | Pharmacist | 2251 Bellington Ct, San Jose, CA 95138-2469 | 2020-06-10 |
| 1194340604 | Tan Vu | Pharmacist | 4643 Park Norton Pl, San Jose, CA 95136-2523 | 2020-06-10 |
| 1356970974 | Viet Quoc Bui | Pharmacist | 2451 S King Rd Ste A1, San Jose, CA 95122-2540 | 2020-04-06 |
| 1063041903 | Tam Minh To | Pharmacist | 307 Checkers Dr Apt 203, San Jose, CA 95133-2254 | 2020-04-03 |
| 1336777598 | Tina Marie Trinh | Pharmacist | 2707 Glen Loman Way, San Jose, CA 95148-4128 | 2020-03-31 |
| 1487285011 | Nanxi Tang | Pharmacist | 5517 Leigh Ave, San Jose, CA 95124-6128 | 2020-02-02 |
| 1609407410 | Kuan Pei Wu | Pharmacist | 2953 Leigh Ave, San Jose, CA 95124-1635 | 2020-01-30 |
| 1982243135 | Elizabeth Vo | Pharmacist | 3091 Mattos Ave, San Jose, CA 95132-1741 | 2020-01-04 |
| 1093354961 | Truong Thinh Le Thiem | Pharmacist | 1275 Cathay Dr, San Jose, CA 95122-1906 | 2019-12-24 |
| 1306484811 | Tiana Truong | Pharmacist | 2955 Senter Rd Ste 55, San Jose, CA 95111-1200 | 2019-12-16 |
| Find all providers in SAN JOSE | ||||
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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.