Active NPI
Ming Jung, PHARMD
- Pharmacist
- Jackson, CA
National Provider Identifier
1548828049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 80115
- Practice address
- 10355 Wicklow Way
Jackson, CA 95642-9324 - Phone
- (209) 223-5193
- NPI assigned
- May 31, 2019
- Last updated
- May 31, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 80115 | CA | Primary |
Addresses
Primary practice location
10355 Wicklow Way
Jackson, CA 95642-9324
Mailing address
6801 Leisure Town Rd Apt 90
Vacaville, CA 95688-9445
Phone (626) 679-5287
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
| License | State | Type | Specialty |
|---|---|---|---|
| 80115 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walmart Inc. | Past | Accepting new patients | |
| Walmart Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559260800000",
"number": "1548828049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6801 LEISURE TOWN RD APT 90",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956889445",
"telephone_number": "626-679-5287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10355 WICKLOW WAY",
"city": "JACKSON",
"state": "CA",
"postal_code": "956429324",
"telephone_number": "209-223-5193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUNG",
"first_name": "MING",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-31",
"last_updated": "2019-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "80115",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, CA
- Loni D Jay, MD
- JL Registered Nursing Home Healthcare, Inc. (Interim Healthcare Personal Care and Support Services)
- Jerry L Jolley, O.D.
- Joy's Return
- Michael W. Juby, MD
- K&B Pichette Enterprises, Inc. (Interim Healthcare of Amador, Calaveras and Tuolumne Counties)
- Rebecca Kaneshiro-Pacheco
- Karen Pantazis MD
- Tanya Karr, CMT
- Puneet Kaur, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.