Look up the most recent NPI and PECOS records

Philip Kong

Pharmacist

Pharmacy Service Providers

521 Parnassus Ave, Room C-152, Box 0622, San Francisco, CA 94143

PECOS Enrollment

Based on the most recent information from CMS, provider Philip Kong does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1063854347
Provider Type
Individual
Full Name
Kong, Philip
Title
Dr.
Credential
PHARM.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
7/26/2013
Last Updated
1/16/2018

Contact Information

Practice Location

521 Parnassus Ave, Room C-152, Box 0622, San Francisco, CA 94143

(415) 353-1000

Unlisted Fax

Mailing Location

PO Box 16525, San Francisco, CA 94116-0525

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 183500000X Primary	Description Pharmacist Pharmacy Service Providers	License 69801 California
Code 183500000X	Description Pharmacist Pharmacy Service Providers	License 5302039675 Michigan
Code 1835P0018X	Description Pharmacist Pharmacy Service Providers	License 69801 California

Philip Kong

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Dacey, Katie Meunier

Nguyen, Nicole Yvonne

Dong, Julie Ann

Fong, Gary

Madlangbayan, Kim

Kim, Jane O

Tong, Lisa M.

Noori Nassr, Neda

Wong, Patrick Thomas

Ra, Jean J