Active NPI
Tommy J Jung
- Pharmacist
- Palm Springs, CA
National Provider Identifier
1497039150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 57722
- Practice address
- 4733 E Palm Canyon Dr
Palm Springs, CA 92264-5219 - Phone
- (760) 324-8269
- NPI assigned
- Sep 29, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | 57722 | CA | Primary |
Addresses
Primary practice location
4733 E Palm Canyon Dr
Palm Springs, CA 92264-5219
Mailing address
74086 Jeri LN
Palm Desert, CA 92211-2902
Phone (213) 210-8118
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 |
|---|---|---|---|
| 57722 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631145600000",
"number": "1497039150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "74086 JERI LN",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922112902",
"telephone_number": "213-210-8118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4733 E PALM CANYON DR",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "922645219",
"telephone_number": "760-324-8269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUNG",
"first_name": "TOMMY",
"middle_name": "J",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-29",
"last_updated": "2021-09-09",
"certification_date": "2021-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "57722",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Springs, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.