Organization Active NPI

Chun Sa Pharmacy Inc

  • Community/Retail Pharmacy
  • Buena Park, CA
National Provider Identifier
1417826595
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
CHUN SA PHARMACY INC
Practice address
4520 Beach Blvd
Ste 102
Buena Park, CA 90621-1133
Phone
(714) 735-8806
Fax
(714) 735-8261
NPI assigned
Nov 5, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Authorized official

Name
Susan HamNPI 1982972824
Title
Ceo
Phone
(714) 735-8806

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
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

4520 Beach Blvd
Ste 102
Buena Park, CA 90621-1133

Mailing address

4520 Beach Blvd
Ste 102
Buena Park, CA 90621-1133
Phone (714) 735-8806

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260514002072 CA Part B Supplier - Mass Immunization (Roster Biller Only) 1658840111 Practice locations: Buena Park, CA

National Provider Directory

National Provider Directory
Tax ID family
Chun Sa Pharmacy Inc2 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.

Locations

4520 Beach Blvd
Ste 102
Buena Park, CA 90621
Phone (714) 735-8806

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1762300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762300800000",
    "number": "1417826595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4520 BEACH BLVD",
            "address_2": "STE 102",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906211133",
            "telephone_number": "714-735-8806",
            "fax_number": "714-735-8261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4520 BEACH BLVD",
            "address_2": "STE 102",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906211133",
            "telephone_number": "714-735-8806",
            "fax_number": "714-735-8261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHUN SA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-05",
        "last_updated": "2025-11-05",
        "certification_date": "2025-10-17",
        "status": "A",
        "authorized_official_last_name": "HAM",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-735-8806"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buena Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.