Organization Active NPI

Azusa Medical Pharmacy

  • Pharmacy
  • Azusa, CA
National Provider Identifier
1396921607
Registry record updated Jul 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PHY47516 Issued in CA
Legal business name
AZUSA MEDICAL PHARMACY
Practice address
507 N Azusa Ave
Azusa, CA 91702-2936
Phone
(626) 969-4202
Fax
(626) 969-5142
NPI assigned
Jan 16, 2008
Last updated
Jul 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2008

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

Authorized official

Name
Ms. Joung Sook YangNPI 1306956321
Title
RPH/Owner
Phone
(626) 969-4202

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHY47516 CA Primary

Addresses

Primary practice location

507 N Azusa Ave
Azusa, CA 91702-2936

Mailing address

507 N Azusa Ave
Azusa, CA 91702-2936
Phone (626) 969-4202

National Provider Directory

National Provider Directory

Locations

507 N Azusa Ave
Azusa, CA 91702
Phone (626) 969-4202

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215388800000",
    "number": "1396921607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 N AZUSA AVE",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917022936",
            "telephone_number": "626-969-4202",
            "fax_number": "626-969-5142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 N AZUSA AVE",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917022936",
            "telephone_number": "626-969-4202",
            "fax_number": "626-969-5142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZUSA MEDICAL PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-16",
        "last_updated": "2008-07-07",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "JOUNG SOOK",
        "authorized_official_title_or_position": "RPH/OWNER",
        "authorized_official_telephone_number": "626-969-4202",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY47516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Azusa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.

Verify at the official NPI Registry.