Individual provider Active NPI

Bunnaun Uch, PHARM D

  • Pharmacist
  • Stockton, CA
National Provider Identifier
1437432176
Registry record updated Apr 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
048460 Issued in CA
Practice address
4555 N Pershing Ave Ste 7
Stockton, CA 95207-6739
Phone
(209) 473-4706
Fax
(209) 473-7377
NPI assigned
Sep 20, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 048460 CA Primary

Addresses

Primary practice location

4555 N Pershing Ave Ste 7
Stockton, CA 95207-6739

Mailing address

4555 N Pershing Ave Ste 7
Stockton, CA 95207-6739
Phone (209) 473-4706

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
048460CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Scripts Current Accepting new patients
Bunnaun Uch Current Accepting new patients
Bunnaun Uch Current Accepting new patients

Locations

4555 N Pershing Ave
Ste 7
Stockton, CA 95207
Phone (209) 888-2099

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428451200000",
    "number": "1437432176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4555 N PERSHING AVE STE 7",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076739",
            "telephone_number": "209-473-4706",
            "fax_number": "209-473-7377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4555 N PERSHING AVE STE 7",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076739",
            "telephone_number": "209-473-4706",
            "fax_number": "209-473-7377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UCH",
        "first_name": "BUNNAUN",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-20",
        "last_updated": "2015-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "048460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2015; 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.