Active NPI
Tommy Chung
- Pharmacist
- Selma, CA
National Provider Identifier
1346752912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 77848
- Practice address
- 1225 Rose Ave
Selma, CA 93662-3227 - Phone
- (978) 328-6109
- NPI assigned
- Nov 3, 2017
- Last updated
- Dec 3, 2023
- Sex
- Male
- Sole proprietor
- No
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 | 77848 | CA | Primary |
Addresses
Primary practice location
1225 Rose Ave
Selma, CA 93662-3227
Mailing address
2741 N Burgan Ave
Fresno, CA 93727-8972
Phone (978) 328-6109
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 |
|---|---|---|---|
| 77848 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chung's Pharmacy Inc | Current | Accepting new patients |
Locations
1225 Rose Ave
Selma, CA 93662
Phone (559) 620-7102
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701561600000",
"number": "1346752912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2741 N BURGAN AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937278972",
"telephone_number": "978-328-6109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 ROSE AVE",
"city": "SELMA",
"state": "CA",
"postal_code": "936623227",
"telephone_number": "978-328-6109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUNG",
"first_name": "TOMMY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-11-03",
"last_updated": "2023-12-03",
"certification_date": "2023-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "77848",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Selma, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.