Active NPI
Lynn Ung, R. PH
- Pharmacist
- San Gabriel, CA
National Provider Identifier
1164446068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PHA467170
- Practice address
- 207 S Santa Anita Ave
Suite G-10
San Gabriel, CA 91776-1146 - Phone
- (626) 281-6800
- Fax
- (626) 281-6696
- NPI assigned
- Jul 26, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | PHA467170 | CA | Primary |
Addresses
Primary practice location
207 S Santa Anita Ave
Suite G-10
San Gabriel, CA 91776-1146
Mailing address
207 S Santa Anita Ave
Suite G-10
San Gabriel, CA 91776-1146
Phone (626) 281-6800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA467170 | Medicaid | CA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PHA467170 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Pharmacy Inc. | Current | Accepting new patients | |
| Pacific Pharmacy Inc. | Current | 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": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164446068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 S SANTA ANITA AVE",
"address_2": "SUITE G-10",
"city": "SAN GABRIEL",
"state": "CA",
"postal_code": "917761146",
"telephone_number": "626-281-6800",
"fax_number": "626-281-6696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 S SANTA ANITA AVE",
"address_2": "SUITE G-10",
"city": "SAN GABRIEL",
"state": "CA",
"postal_code": "917761146",
"telephone_number": "626-281-6800",
"fax_number": "626-281-6696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UNG",
"first_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "R. PH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "PHA467170",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHA467170",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Gabriel, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.