Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1043527146 Individual Practitioner Male Practitioner

Dr. Ivan Wong , PharmD

Pharmacist • Renton, WA

Professional Overview & Biography Verified Profile Summary

Dr. Ivan Wong, PharmD is a registered healthcare professional specializing in Pharmacist in Renton, WA. Practice services are available at 17615 140TH AVE SE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

17615 140th Ave Se

Renton, WA 98058

Telephone 4252041585
Fax 4252040743
Associated Practice Facility / Clinic
🏢 Thrifty Payless Inc Facility NPI 1881610061

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Renton, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 7.0 Yrs
Regional Practice Density
247 Specialists

Practicing in Renton, WA (7956 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License WA PH00063119

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1073155792

Doctor of Pharmacy (Pharm.D.)

Hana Ma , RPH

Pharmacist

NPI 1154581593

Registered Pharmacist

Damian Rogers

Pharmacy Technician

NPI 1700502978
NPI 1700910692

Registered Pharmacist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 16, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location September 16, 2010

Registered at 17615 140TH AVE SE, RENTON, WA 98058 (Tel: 4252041585)

📍
Updated Business Mailing Address September 16, 2010

Registered at 17615 140TH AVE SE, RENTON, WA 980586828 (Tel: 4252041585)

👤
Provider Name / Credentials Updated September 16, 2010

Recorded as IVAN WONG, PHARM.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 16, 2010

Pharmacist (License #PH00063119 in WA)

🟢
Initial NPI Registration & Enumeration September 10, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1043527146
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 10, 2010
Last Update: September 16, 2010
Sole Proprietor: Yes

Mailing Address

17615 140th Ave Se

Renton, WA 980586828

Phone: 4252041585

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.