Individual provider Active NPI

Inseon Lim Chung, R.PH.

  • Pharmacist
  • Rowland Heights, CA
National Provider Identifier
1083952741
Registry record updated Jan 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
44759 Issued in CA
Practice address
1722 Desire Ave #103
C/O New Life Pharmacy
Rowland Heights, CA 91748
Phone
(626) 839-3000
Fax
(626) 521-5283
NPI assigned
Jan 30, 2013
Last updated
Jan 30, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 44759 CA Primary

Addresses

Primary practice location

1722 Desire Ave #103
C/O New Life Pharmacy
Rowland Heights, CA 91748

Mailing address

1722 Desire Ave. #103
C/O New Life Pharmacy
Rowland Heights, CA 91748
Phone (626) 839-3000

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
Registered Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Avicure Pharmacy Inc CurrentSince Aug 4, 2024 Accepting new patients
Avicure Pharmacy Inc Current Accepting new patients

Locations

1722 Desire Ave
Ste 103
Rowland Hghts, CA 91748
Phone (626) 839-3000

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": "1359504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359504000000",
    "number": "1083952741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 DESIRE AVE. #103",
            "address_2": "C/O NEW LIFE PHARMACY",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "91748",
            "telephone_number": "626-839-3000",
            "fax_number": "626-521-5283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 DESIRE AVE #103",
            "address_2": "C/O NEW LIFE PHARMACY",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "91748",
            "telephone_number": "626-839-3000",
            "fax_number": "626-521-5283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "INSEON",
        "middle_name": "LIM",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-30",
        "last_updated": "2013-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "44759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rowland Heights, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; 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.