Active NPI
Lunny Ronnie Jung, PHARM. D
- Pharmacist
- Selma, CA
National Provider Identifier
1194209841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 27764
- Practice address
- 1939 High St
Selma, CA 93662-3510 - Phone
- (559) 896-1645
- Fax
- (559) 896-3266
- NPI assigned
- Sep 19, 2018
- Sex
- Male
- 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 | 27764 | CA | Primary |
Addresses
Primary practice location
1939 High St
Selma, CA 93662-3510
Mailing address
1939 High St
Selma, CA 93662-3510
Phone (559) 896-1645
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 |
|---|---|---|---|
| 27764 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Drug Store Inc | Past | Accepting new patients | |
| Fox Drug Store Inc | Pharmacist | 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Fresno, CA
- NPI 1952438525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699228800000",
"number": "1194209841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1939 HIGH ST",
"city": "SELMA",
"state": "CA",
"postal_code": "936623510",
"telephone_number": "559-896-1645",
"fax_number": "559-896-3266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1939 HIGH ST",
"city": "SELMA",
"state": "CA",
"postal_code": "936623510",
"telephone_number": "559-896-1645",
"fax_number": "559-896-3266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUNG",
"first_name": "LUNNY",
"middle_name": "RONNIE",
"name_prefix": "Dr.",
"credential": "PHARM. D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-19",
"last_updated": "2023-11-06",
"certification_date": "2023-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "27764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Selma, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.