Active NPI
Yon Kyong Pae
- Pharmacist
- La Habra, CA
National Provider Identifier
1336396084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH 51491
- Practice address
- 1301 S Beach Blvd
Ste K
La Habra, CA 90631-1110 - Phone
- (562) 947-8811
- Fax
- (562) 947-8688
- NPI assigned
- Aug 25, 2008
- Last updated
- Nov 19, 2008
- 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 | RPH 51491 | CA | Primary |
Addresses
Primary practice location
1301 S Beach Blvd
Ste K
La Habra, CA 90631-1110
Mailing address
1301 S Beach Blvd
Ste K
La Habra, CA 90631-1110
Phone (562) 947-8811
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 |
|---|---|---|---|
| RPH 51491 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leepae RX Inc | Current | Accepting new patients | |
| Beach Medical RX Inc | Current | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Beach Medical Pharmacy
- Community/Retail Pharmacy
- Buena Park, CA
- NPI 1902944648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227052800000",
"number": "1336396084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 S BEACH BLVD",
"address_2": "STE K",
"city": "LA HABRA",
"state": "CA",
"postal_code": "906311110",
"telephone_number": "562-947-8811",
"fax_number": "562-947-8688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 S BEACH BLVD",
"address_2": "STE K",
"city": "LA HABRA",
"state": "CA",
"postal_code": "906311110",
"telephone_number": "562-947-8811",
"fax_number": "562-947-8688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAE",
"first_name": "YON KYONG",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-25",
"last_updated": "2008-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH 51491",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Habra, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.