Individual provider Active NPI

Soyang Bang

  • Pharmacist
  • Burbank, CA
National Provider Identifier
1588025548
Registry record updated May 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
67226 Issued in CA
Practice address
370 W Alameda Ave Apt 105
Burbank, CA 91506-3361
Phone
(904) 673-4742
NPI assigned
Mar 17, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 67226 CA Primary

Addresses

Primary practice location

370 W Alameda Ave Apt 105
Burbank, CA 91506-3361

Mailing address

370 W Alameda Ave Apt 105
Burbank, CA 91506-3361
Phone (904) 673-4742

Other practice location 1

4320 W Sarah St Apt 14
Burbank, CA 91505-3841
Phone (904) 673-4742

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

LicenseStateTypeSpecialty
67226CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1458172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525219200000",
    "number": "1588025548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 W ALAMEDA AVE APT 105",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915063361",
            "telephone_number": "904-673-4742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 W ALAMEDA AVE APT 105",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915063361",
            "telephone_number": "904-673-4742"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4320 W Sarah St Apt 14",
            "address_purpose": "LOCATION",
            "city": "Burbank",
            "state": "CA",
            "postal_code": "915053841",
            "country_code": "US",
            "telephone_number": "904-673-4742",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANG",
        "first_name": "SOYANG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-17",
        "last_updated": "2018-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "67226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; 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.