Jung Sun Lee

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY 37825 Issued in CA

Legal business name

JUNG SUN LEE

Doing business as

Kingsley Pharmacy

Practice address

3663 W 6TH St
Suite 102
Los Angeles, CA 90020-3049

Phone

(213) 383-8877

Fax

(213) 368-1590

NPI assigned

Feb 16, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Jung Sun Lee

Title

Owner, Pharmacist

Phone

(213) 383-8877

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kingsley Pharmacy Doing business as

Tax ID family

Jung Sun Lee2 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.

• Kingsley Pharmacy

  • Community/Retail Pharmacy
  • Los Angeles, CA
  • NPI 1275973968
  NPD tax ID

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375315200000",
    "number": "1265576219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3663 W 6TH ST",
            "address_2": "SUITE 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900203049",
            "telephone_number": "213-383-8877",
            "fax_number": "213-368-1590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3663 W 6TH ST",
            "address_2": "SUITE 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900203049",
            "telephone_number": "213-383-8877",
            "fax_number": "213-368-1590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNG SUN LEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2013-08-01",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JUNG SUN",
        "authorized_official_title_or_position": "OWNER, PHARMACIST",
        "authorized_official_telephone_number": "213-383-8877",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY 37825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA378250",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kingsley Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Luigi Juncaj, PA
• Jung Acupuncture & Herbal Clinic
• Jung M. Bae, M.D., Inc.
• Jung Medical Center
• Jung Sook Kim Oriental Clinic
• Jung Yoon Chang Dental Corp
• Ae Young Jung
• Ariel Eunji Jung, MD
• Brennan Jung
• Carrie Elizabeth Jung, M.D.

• Community/Retail Pharmacy in Los Angeles, CA
• Providers in Los Angeles, 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 Aug 1, 2013; 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.