Active NPI
Eun Hae Jung
- Pharmacist
- Buena Park, CA
National Provider Identifier
1215385240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 74553
- Practice address
- 6771 Beach Blvd Ste E
Buena Park, CA 90621-3470 - Phone
- (714) 752-6027
- Fax
- (714) 676-5508
- NPI assigned
- May 31, 2016
- 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 | 74553 | CA | Primary |
Addresses
Primary practice location
6771 Beach Blvd Ste E
Buena Park, CA 90621-3470
Mailing address
6771 Beach Blvd Ste E
Buena Park, CA 90621-3470
Phone (714) 752-6027
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 74553 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeh Corp | Current | Accepting new patients | |
| CNS Pharmacy Inc | Past | Accepting new patients |
Locations
6771 Beach Blvd
Ste E
Buena Park, CA 90621
Phone (714) 752-6027
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677715200000",
"number": "1215385240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6771 BEACH BLVD STE E",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906213470",
"telephone_number": "714-752-6027",
"fax_number": "714-676-5508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6771 BEACH BLVD STE E",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906213470",
"telephone_number": "714-752-6027",
"fax_number": "714-676-5508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUNG",
"first_name": "EUN HAE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-31",
"last_updated": "2023-03-02",
"certification_date": "2023-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "74553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buena Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.