NPIMap

Organization Active NPI

Soon R Chung

Doing business as Cal Med Pharmacy

  • Community/Retail Pharmacy
  • Los Angeles, CA
National Provider Identifier
1396037826
Registry record updated Apr 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
50541 Issued in CA
Legal business name
SOON R CHUNG
Doing business as
Cal Med Pharmacy
Practice address
1414 S Grand Ave
Ste 101
Los Angeles, CA 90015-3067
Phone
(213) 746-4677
Fax
(213) 746-8796
NPI assigned
May 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2017

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

Authorized official

Name
Eddie Chung
Title
Manager
Phone
(714) 926-0295

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 50541 CA Primary

Addresses

Primary practice location

1414 S Grand Ave
Ste 101
Los Angeles, CA 90015-3067

Mailing address

1414 S Grand Ave
Ste 101
Los Angeles, CA 90015-3067
Phone (213) 746-4677

Other identifiers 1

IdentifierTypeStateIssuer
2130484OtherPK

Other names 1

  • Cal Med Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cal Med Pharmacy2 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.

NPI Registry JSON

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

{
    "created_epoch": "1304294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492646400000",
    "number": "1396037826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 S GRAND AVE",
            "address_2": "STE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153067",
            "telephone_number": "213-746-4677",
            "fax_number": "213-746-8796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 S GRAND AVE",
            "address_2": "STE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153067",
            "telephone_number": "213-746-4677",
            "fax_number": "213-746-8796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOON R CHUNG",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-02",
        "last_updated": "2017-04-20",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "714-926-0295"
    },
    "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": "50541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2130484",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cal Med Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; 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.