Ji Eun Song

Primary specialty

PharmacistTaxonomy code 183500000X

License

80428 Issued in CA

Practice address

1515 E Ocean Ave
Lompoc, CA 93436-7092

Phone

(805) 737-3337

NPI assigned

Dec 13, 2020

Last updated

Dec 13, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1607817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607817600000",
    "number": "1013503143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 S U ST APT 72",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934366467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 E OCEAN AVE",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934367092",
            "telephone_number": "805-737-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "JI EUN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-13",
        "last_updated": "2020-12-13",
        "certification_date": "2020-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "80428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "idontknow",
            "affiliation": "N",
            "address_1": "1515 E Ocean Ave",
            "city": "Lompoc",
            "state": "CA",
            "country_code": "US",
            "postal_code": "934367092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jeanie Marie Sleigh, LMHP, CADCII
• Kevin Scott Smith, REGISTERED CERTIFICA
• Autumn J Soltero, P.T.
• Ashley Somics
• Angie U. Song, M.D.
• Pinhkeo Southaphanh, O.D.
• Maysee Ann Spain
• Alina Staniger, ADDICTIONS STUDIES
• Anthony Joseph Starinieri, DDS
• Adrienne Rachael Starr-Fenton, R.D.

• Pharmacist in Lompoc, CA
• Providers in Lompoc, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.