Active NPI
Andrew Jungwoo Pak, PHARMD
- Pharmacist
- Turlock, CA
National Provider Identifier
1598396111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 76662
- Practice address
- 3100 Geer Rd
Turlock, CA 95382-1119 - Phone
- (209) 664-1121
- NPI assigned
- Feb 1, 2020
- Last updated
- Feb 1, 2020
- 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 | 76662 | CA | Primary |
Addresses
Primary practice location
3100 Geer Rd
Turlock, CA 95382-1119
Mailing address
3100 Geer Rd
Turlock, CA 95382-1119
Phone (209) 664-1121
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 |
|---|---|---|---|
| 76662 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garfield Beach CVS, L.L.C. | Past | Accepting new patients |
Organizations & group practices 1
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": "1580515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580515200000",
"number": "1598396111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 GEER RD",
"city": "TURLOCK",
"state": "CA",
"postal_code": "953821119",
"telephone_number": "209-664-1121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 GEER RD",
"city": "TURLOCK",
"state": "CA",
"postal_code": "953821119",
"telephone_number": "209-664-1121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAK",
"first_name": "ANDREW",
"middle_name": "JUNGWOO",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-02-01",
"last_updated": "2020-02-01",
"certification_date": "2020-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "76662",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Turlock, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.