Jannie W Cheung, PHARM D

Individual provider Active NPI Pharmacist · La Mirada, CA

NPI 1235457300 · NPPES record last updated May 13, 2010

Key facts

NPI
1235457300
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
RPH45047 (CA)
Practice address
15800 Imperial Hwy
La Mirada, CA 90638-2512
Phone
(562) 902-5538
Fax
(562) 903-6517
NPI assigned
May 13, 2010
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
RPH45047CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrifty Payless Inc Past Accepting new patients
Thrifty Payless Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH45047 CA Yes

Addresses

Primary practice location

15800 Imperial Hwy
La Mirada, CA 90638-2512

Mailing address

4028 Golden Terrace LN
Chino Hills, CA 91709-4928
Phone (562) 902-5538

Other providers in La Mirada, CA

All providers in La Mirada, CA · Pharmacist in California

Sources for this page

Verify at the official NPI Registry.