Avicure Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY48793 Issued in CA

Legal business name

AVICURE PHARMACY INC

Doing business as

New Life Pharmacy

Practice address

1722 Desire Ave Ste 103
Rowland Heights, CA 91748-2969

Phone

(626) 839-3000

Fax

(626) 521-5283

NPI assigned

Feb 1, 2008

Last updated

Jul 19, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Inseon Chung, RPHNPI 1083952741

Title

Owner / Pic

Phone

(626) 839-3000

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• New Life Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA3 enrollments

Enrollment records 3

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Avicure Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Avicure Pharmacy Inc

  • Long Term Care Pharmacy
  • Rowland Heights, CA
  • NPI 1144059189
  NPD tax ID

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Inseon Lim Chung, R.PH.

  • Pharmacist
  • Rowland Heights, CA
  • NPI 1083952741
  NPD Authorized official
• Christopher Chung, RPH

  • Pharmacist
  • Rowland Heights, CA
  • NPI 1821708900
  NPD (past)
• Lin Zhang

  • Pharmacist
  • Rowland Heights, CA
  • NPI 1366014334
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1215115159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 DESIRE AVE",
            "address_2": "STE 103",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917482968",
            "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 STE 103",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917482969",
            "telephone_number": "626-839-3000",
            "fax_number": "626-521-5283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVICURE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-01",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "INSEON",
        "authorized_official_title_or_position": "OWNER / PIC",
        "authorized_official_telephone_number": "626-839-3000",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY48793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2113564",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1215115159",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Life Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thomas Aul, DDS
• Jonathan Anthony Avalos
• Avanti Plus Medical Spa Inc
• Avanti Urgent Care
• Avicure Pharmacy Inc
• Cecile Rose Co Avila, NP
• Zin Hlaing Aye
• Anita Babadjanian
• Peggy Baghdikian
• Cynthia Balanza

• Community/Retail Pharmacy in Rowland Heights, CA
• Providers in Rowland Heights, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.