Active NPI
Jeannie H Jung, PHARM.D.
- Psychiatric Hospital
- Riverside, CA
National Provider Identifier
1215566989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital
- Practice address
- 5900 Brockton Ave
Riverside, CA 92506-1862 - Phone
- (951) 275-8400
- NPI assigned
- Apr 5, 2020
- 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 |
|---|---|---|---|---|
| Psychiatric Hospital | 283Q00000X | CA | Primary |
Addresses
Primary practice location
5900 Brockton Ave
Riverside, CA 92506-1862
Mailing address
25 Maitland Rd
Ladera Ranch, CA 92694-1019
Phone (949) 887-4832
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jjung@apcpharm.com |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586044800000",
"number": "1215566989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 MAITLAND RD",
"city": "LADERA RANCH",
"state": "CA",
"postal_code": "926941019",
"telephone_number": "949-887-4832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5900 BROCKTON AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925061862",
"telephone_number": "951-275-8400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUNG",
"first_name": "JEANNIE",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-05",
"last_updated": "2020-04-05",
"certification_date": "2020-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "283Q00000X",
"taxonomy_group": "",
"desc": "Psychiatric Hospital",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jjung@apcpharm.com",
"affiliation": "N",
"address_1": "5900 Brockton Ave",
"city": "Riverside",
"state": "CA",
"country_code": "US",
"postal_code": "925061862",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.