Dr. Elton Wong, Pharm.D.
Pharmacist in Vancouver, WA. Individual provider (NPI-1).
NPI number1730623596
StatusActive
Last updated in NPPESDec 13, 2016
Details
- NPI
- 1730623596
- Entity type
- Individual (NPI-1)
- Name
- Dr. Elton Wong
- Credential
- Pharm.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 13, 2016
- Last updated
- Dec 13, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 00021470 | WA | Yes |
Practice location
12606 Ne 95th StVancouver, WA 98682-2398
Phone 360-260-7156
Mailing address
12606 Ne 95th StVancouver, WA 98682-2398
Phone 360-260-7156
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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