Active NPI
Sarah Sung, PHARMD
- Pharmacist
- Fountain Valley, CA
National Provider Identifier
1104496306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 75072
- Practice address
- 17330 Brookhurst St
Fountain Valley, CA 92708-3720 - Phone
- (657) 241-3237
- NPI assigned
- Jun 29, 2021
- 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 | 75072 | CA | Primary |
Addresses
Primary practice location
17330 Brookhurst St
Fountain Valley, CA 92708-3720
Mailing address
13311 Kilkenny CT Unit 205
La Mirada, CA 90638-6296
Phone (909) 247-6337
Other practice location 1
13311 Kilkenny Ct Unit 205
LA Mirada, CA 90638-6296
Phone (909) 247-6337
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 |
|---|---|---|---|
| 75072 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624924800000",
"number": "1104496306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13311 KILKENNY CT UNIT 205",
"city": "LA MIRADA",
"state": "CA",
"postal_code": "906386296",
"telephone_number": "909-247-6337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17330 BROOKHURST ST",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927083720",
"telephone_number": "657-241-3237"
}
],
"practiceLocations": [
{
"address_1": "13311 Kilkenny Ct Unit 205",
"address_purpose": "LOCATION",
"city": "LA Mirada",
"state": "CA",
"postal_code": "906386296",
"country_code": "US",
"telephone_number": "909-247-6337",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUNG",
"first_name": "SARAH",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-29",
"last_updated": "2021-06-29",
"certification_date": "2021-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "75072",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.