Gold Sun Yuan Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY48299 Issued in CA

Legal business name

GOLD SUN YUAN INC

Practice address

201 W Garvey Ave
Ste 107
Monterey Park, CA 91754-7418

Phone

(626) 572-0800

Fax

(626) 572-8505

NPI assigned

Sep 30, 2006

Organization subpart

No

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

Authorized official

Name

Tony Tse, RPHNPI 1225257207

Title

Cfo

Phone

(626) 572-0800

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• SUN YUAN PHARMACY Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tony Tse

  • Pharmacist
  • Monterey Park, CA
  • NPI 1225257207
  NPD (past) Authorized official
• Walter H Ching, PHARM.D.

  • Pharmacist
  • Arcadia, CA
  • NPI 1548486616
  NPD

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448409600000",
    "number": "1245323674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W GARVEY AVE",
            "address_2": "STE 107",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917547418",
            "telephone_number": "626-572-0800",
            "fax_number": "626-572-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W GARVEY AVE",
            "address_2": "STE 107",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917547418",
            "telephone_number": "626-572-0800",
            "fax_number": "626-572-8505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD SUN YUAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-30",
        "last_updated": "2015-11-25",
        "status": "A",
        "authorized_official_last_name": "TSE",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "626-572-0800",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY48299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2113451",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245323674",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUN YUAN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Luisana Gomez, PHYSICIAN ASSISTANT

• Community/Retail Pharmacy in Monterey Park, CA
• Providers in Monterey Park, 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 Nov 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.