DR. DEREK L WONG (NPI# 1912280058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912280058 |
| Entity Type | Individual |
| Full Name | DR. DEREK L WONG |
| Credential | PHARM.D |
| Practice Address |
8302 Old Sauk Rd Middleton WI 53562-4404 |
| Practice Telephone | 6088332373 |
| Mailing Telephone | 6088332373 |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2011-09-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 26022525A | IN | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 14224-040 | WI | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285286211 | Derek Wei-yun Wong | Behavior Technician | 1520 Pershing Dr Apt F, San Francisco, CA 94129-1096 | 2019-07-10 |
| 1427367135 | Derek Wong | Dentist | 2480 Howard Ave, San Carlos, CA 94070-4415 | 2010-09-29 |
| 1245464999 | Derek Wong | Dentist | 826 N Monterey St Apt A, Alhambra, CA 91801-6425 | 2009-05-11 |
| 1134199946 | Derek Alan Wong | Medical Genetics | 10833 Leconte Ave, Mdcc 12-334, Los Angeles, CA 90095-1732 | 2006-01-24 |
| 1356961338 | Derek Wong | Occupational Therapist | 35 Escuela Dr, Daly City, CA 94015-4003 | 2020-04-20 |
| 1811475858 | Derek Wong | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2018-08-01 |
| 1114374782 | Derek Wong | Internal Medicine | 425 W 5th St, East Liverpool, OH 43920-2405 | 2016-05-24 |
| 1710218599 | Derek J Wong | Obstetrics & Gynecology | 1 Scripps Dr Ste 107, Sacramento, CA 95825-6206 | 2010-01-19 |
| Street Address |
8302 OLD SAUK RD |
| City | MIDDLETON |
| State | WI |
| Zip Code | 53562-4404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427063502 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 8302 Old Sauk Rd, Middleton, WI 53562-4404 | 2006-07-29 |
| 1629696695 | Casey Lauren Mills | Pharmacist | 8302 Old Sauk Rd, Middleton, WI 53562-4404 | 2020-07-07 |
| 1982974291 | Alan T Welch | Pharmacist | 8302 Old Sauk Rd, Middleton, WI 53562-4404 | 2012-01-03 |
| 1275816324 | Amy Johnson | Pharmacist | 8302 Old Sauk Rd, Middleton, WI 53562-4404 | 2011-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770143802 | Taylor Moore | Chiropractor | 6629 University Ave Ste 101, Middleton, WI 53562 | 2019-06-20 |
| 1558861302 | Nissenbaum and Schleusner Pro Physical Therapy LLC | Physical Therapist | 6649 University Ave Ste 100, Middleton, WI 53562 | 2018-02-19 |
| 1750804514 | University of Wisconsin Hospitals and Clinics Authority | Pharmacy | 3185 Deming Way, Middleton, WI 53562 | 2017-07-24 |
| 1285165803 | Julie Zimmerman | Pharmacist | 7414 Voss Pkwy, Middleton, WI 53562 | 2017-03-24 |
| 1982072773 | Gina Craig | Physical Therapist | 2521 Allen Boulevard, Middleton, WI 53562 | 2015-09-10 |
| 1588030464 | Nicholas Capote | Pharmacist | 600 Highland Avenue, F6/133, Madison, WI 53562 | 2015-08-14 |
| 1679975734 | Emily Herzog | Nurse Practitioner | 7248 Squire Cir, Middleton, WI 53562 | 2014-09-20 |
| 1942620752 | Brooke Michelle Moungey | Emergency Medicine | 8540 Greenway Blvd, Middleton, WI 53562 | 2014-04-18 |
| 1962820027 | Jennifer Ciske Larson | Ophthalmology | 2349 Deming Way Deming Way Eye Clinic, Middleton, WI 53562 | 2014-04-04 |
| 1740525971 | Sara E.m. Nichols | Veterinarian | 1612 N. High Point Rd., Middleton, WI 53562 | 2012-11-28 |
| Find all providers in zip 53562 | ||||
| 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 |
|---|---|---|---|---|
| 1285165803 | Julie Zimmerman | Pharmacist | 7414 Voss Pkwy, Middleton, WI 53562 | 2017-03-24 |
| 1871917823 | Lynn K Fotis | Pharmacist | 7208 Hubbard Ave, Middleton, WI 53562-3234 | 2014-02-11 |
| 1861737397 | Heather Christiansen | Pharmacist | 7422 Voss Pkwy, Middleton, WI 53562-3660 | 2012-12-10 |
| 1740549062 | Willie Thigpen | Pharmacist | 110 Chickadee Ave, Middleton, TN 38052-3425 | 2012-05-07 |
| 1952684714 | Susan L Vokey | Pharmacist | 135 South Main St, Middleton, MA 01949 | 2011-09-27 |
| 1790960607 | Corina A Reyna | Pharmacist | 509 S Middleton Rd Ste 105, Middleton, ID 83644-6047 | 2008-01-09 |
| 1891828513 | Dean G Kartsounis | Pharmacist | 220 Maple St, Middleton, MA 01949-2265 | 2007-03-13 |
| 1588777916 | Harry Rossiter Horn | Pharmacist | 4675 Signature Dr, Middleton, WI 53562-2364 | 2006-08-17 |
| 1841290459 | Michael John Asmus | Pharmacist | 5416 Upland Trl, Middleton, WI 53562-5219 | 2005-07-26 |
| 1790396315 | Tamarah Gourgue | Pharmacist | 235 S Main St, Middleton, MA 01949-2445 | 2020-08-17 |
| Find all providers in MIDDLETON | ||||
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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.