Sun Pharmacy, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY54368 Issued in CA

Legal business name

SUN PHARMACY, INC.

Doing business as

Sun Pharmacy

Practice address

2559 S King Rd
Suite B10
San Jose, CA 95122-1894

Phone

(408) 440-2077

Fax

(408) 677-3957

NPI assigned

Feb 18, 2016

Last updated

Apr 19, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Luu Phuong Nguyen, RPHNPI 1659744852

Title

Owner, Pic, Ao

Phone

(408) 440-2077

Specialties & licenses 5

Addresses

Other identifiers 2

Other names 1

• Sun Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Luu Phuong Nguyen, PHARM. D.

  • Pharmacist
  • San Jose, CA
  • NPI 1659744852
  NPD Authorized official

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

{
    "created_epoch": "1455753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492560000000",
    "number": "1336508308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2559 S KING RD",
            "address_2": "SUITE B10",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951221894",
            "telephone_number": "408-440-2077",
            "fax_number": "408-677-3957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2559 S KING RD",
            "address_2": "SUITE B10",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951221894",
            "telephone_number": "408-440-2077",
            "fax_number": "408-677-3957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-18",
        "last_updated": "2017-04-19",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "LUU PHUONG",
        "authorized_official_title_or_position": "OWNER, PIC, AO",
        "authorized_official_telephone_number": "408-440-2077",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "54368",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "CA",
            "license": "54368",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY54368",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2158484",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336508308",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sun Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Summus Health Clinic, Inc.
• Summus Health Group
• Chloe Yuan Chao Sumner, MD
• Kelly Jo Sumner
• Sun Dental Care
• Sun Surgical Dental Group
• Victoria Sun-Huie, M.S.RPH. BCPS
• Brian Sun, MD
• Chantha Sun, MS,CCC-SLP
• Frances Sun, M.D.

• Community/Retail Pharmacy in San Jose, CA
• Providers in San Jose, 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 Apr 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.