Active NPI
Angela Sook Jung
- Pharmacist
- Arlington, VA
National Provider Identifier
1043807019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202218133
- Practice address
- 256 N Glebe Rd
Arlington, VA 22203-3749 - Phone
- (703) 522-1202
- NPI assigned
- Dec 24, 2020
- Last updated
- Dec 24, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202218133 | VA | Primary |
Addresses
Primary practice location
256 N Glebe Rd
Arlington, VA 22203-3749
Mailing address
1400 S Joyce St Apt 501
Arlington, VA 22202-1818
Other practice location 1
1400 S Joyce St Apt 501
Arlington, VA 22202-1818
Phone (703) 963-8596
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202218133 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia CVS Pharmacy, L.L.C. | Past | Accepting new patients | |
| Virginia CVS Pharmacy LLC | 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": "1608768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608768000000",
"number": "1043807019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 S JOYCE ST APT 501",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222021818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "256 N GLEBE RD",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222033749",
"telephone_number": "703-522-1202"
}
],
"practiceLocations": [
{
"address_1": "1400 S Joyce St Apt 501",
"address_purpose": "LOCATION",
"city": "Arlington",
"state": "VA",
"postal_code": "222021818",
"country_code": "US",
"telephone_number": "703-963-8596",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JUNG",
"first_name": "ANGELA",
"middle_name": "SOOK",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-24",
"last_updated": "2020-12-24",
"certification_date": "2020-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202218133",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 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.