Active NPI
Min Young Jang, PHARM.D.
- Pharmacist
- Long Beach, CA
National Provider Identifier
1043623838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S019368
- Practice address
- 2270 N Bellflower Blvd
Long Beach, CA 90815-2017 - Phone
- (562) 430-3753
- NPI assigned
- Jun 9, 2014
- Last updated
- Dec 14, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | S019368 | AZ | Primary |
| Clinical Pharmacology Physician | 208U00000X | 69216 | CA |
Addresses
Primary practice location
2270 N Bellflower Blvd
Long Beach, CA 90815-2017
Mailing address
2270 N Bellflower Blvd
Long Beach, CA 90815-2017
Phone (562) 430-3753
Other practice location 1
3501 Stockton Hill Rd
Kingman, AZ 86409-3227
Phone (928) 757-1999 ext. 2
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S019368 | AZ | MD | Pharmacist |
| 69216 | CA | MD | Clinical Pharmacology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona CVS Stores LLC | Past | Accepting new patients | |
| Arizona CVS Stores, L.L.C. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607904000000",
"number": "1043623838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2270 N BELLFLOWER BLVD",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908152017",
"telephone_number": "562-430-3753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2270 N BELLFLOWER BLVD",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908152017",
"telephone_number": "562-430-3753"
}
],
"practiceLocations": [
{
"address_1": "3501 Stockton Hill Rd",
"address_purpose": "LOCATION",
"city": "Kingman",
"state": "AZ",
"postal_code": "864093227",
"country_code": "US",
"telephone_number": "928-757-1999 x2",
"fax_number": "928-757-4441",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JANG",
"first_name": "MIN YOUNG",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-09",
"last_updated": "2020-12-14",
"certification_date": "2020-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S019368",
"primary": true
},
{
"code": "208U00000X",
"taxonomy_group": "",
"desc": "Clinical Pharmacology",
"state": "CA",
"license": "69216",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.