Healthcare Provider Details

I. General information

NPI: 1316168669
Provider Name (Legal Business Name): WILLIAM WONG PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/02/2007
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 MOWRY AVE WASHINGTON HOSPITAL DEPT OF PHARMACY
FREMONT CA
94538-1716
US

IV. Provider business mailing address

3711 ROSE ROCK CIR
PLEASANTON CA
94588-8371
US

V. Phone/Fax

Practice location:
  • Phone: 510-791-3495
  • Fax:
Mailing address:
  • Phone: 925-846-0639
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number52556
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number11633
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code1835C0205X
TaxonomyCritical Care Pharmacist
License Number52556
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: