GORDON WONG
NPI 1124157904
Pharmacy - Community/Retail Pharmacy in Pacific Palisades, CA

Active since March 05, 2007
16630 MARQUEZ AVE, PACIFIC PALISADES, CA 90272(310) 454-6000(310) 454-0605 Get Directions Write a Review

NPPES record last updated: November 17, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 17, 2017, Apr 19, 2017, Nov 9, 2015 (3 updates tracked since 2015).

About Gordon Wong NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GORDON WONG (NPI 1124157904) is a healthcare organization registered as a community/retail pharmacy in Pacific Palisades, California and active in the NPI registry since March 2007. The organization lists Gordon Wong, Owner Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1124157904
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameKNOLLS PHARMACY
Location Address16630 MARQUEZ AVEPacific Palisades, CA 90272-3233
Mailing Address16630 Marquez AvePacific Palisades, CA 90272-3233 · (310) 454-6000 · Fax (310) 454-0605
Fax(310) 454-0605
Organization SubpartNo
Authorized OfficialGordon WongOwner Pharmacist · (310) 454-6000
Enumeration DateMarch 5, 2007
Last NPPES UpdateNovember 17, 20173 updates tracked since enumeration
NPI 1124157904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in CA · PHY36924
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedPharmacyTaxonomy 333600000X
16630 MARQUEZ AVE, Pacific Palisades, CA 90272

Other Names 1

Other NameGordon Wong

Other Identifiers 1

Other1994466Pk

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
16630 MARQUEZ AVE
PACIFIC PALISADES, CA 90272

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Knolls Pharmacy's NPI number?

The NPI number for Knolls Pharmacy is 1124157904. It was assigned to this organization in the NPPES registry on March 5, 2007. The provider is also known as Gordon Wong.

Where is Knolls Pharmacy located?

Knolls Pharmacy is located at 16630 Marquez Ave, Pacific Palisades, CA 90272. The listed phone number is (310) 454-6000.

What is Knolls Pharmacy's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

What insurance does Knolls Pharmacy accept?

Health plans from Anthem Blue Cross and Blue Shield, BlueCross BlueShield of Tennessee, Humana, Medica and Moda Health Plan, Inc. and 8 other insurers list Knolls Pharmacy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Knolls Pharmacy was last updated on November 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.