Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ivan Wong, PHARMD

Individual provider Pharmacist · NPI 1043527146

Ivan Wong, PHARMD is a Pharmacist in Renton, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2010
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

17615 140th Ave SE
Renton, WA 98058
Phone: (425) 204-1585
Fax: (425) 204-0743
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence PH00063119 (WA)

Record details

NPI number1043527146
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorYes
NPI enumeratedSeptember 10, 2010
Last updated in NPPESSeptember 16, 2010
Mailing address17615 140th Ave Se, Renton, WA 98058-6828

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