Active NPI
Yoon Young Chang, PHARMD
- Pharmacist
- San Leandro, CA
National Provider Identifier
1083050561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 057903
- Practice address
- 777 Davis Street
San Leandro, CA 94577 - Phone
- (866) 454-8855
- NPI assigned
- May 11, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH80140 | CA | |
| Pharmacist | 183500000X | 057903 | NY | Primary |
Addresses
Primary practice location
777 Davis Street
San Leandro, CA 94577
Mailing address
777 Davis Street
San Leandro, CA 94577
Phone (866) 454-8855
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 |
|---|---|---|---|
| 057903 | NY | MD | General Practice Dentistry |
| RPH80140 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667347200000",
"number": "1083050561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 DAVIS STREET",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "94577",
"telephone_number": "866-454-8855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 DAVIS STREET",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "94577",
"telephone_number": "866-454-8855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "YOON YOUNG",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-11",
"last_updated": "2022-11-02",
"certification_date": "2022-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH80140",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "057903",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Leandro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.