Active NPI
Kenneth Yun, RPH
- Pharmacist
- Los Angeles, CA
National Provider Identifier
1629291414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 54909
- Practice address
- 2105 S San Pedro St
Los Angeles, CA 90011-1125 - Phone
- (213) 749-4174
- Fax
- (213) 749-8818
- NPI assigned
- Apr 10, 2007
- Last updated
- Jul 8, 2007
- 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 | 54909 | CA | Primary |
Addresses
Primary practice location
2105 S San Pedro St
Los Angeles, CA 90011-1125
Mailing address
2105 S. San Pedro Street
Los Angeles, CA 90011
Phone (213) 749-4174
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
- Registered Pharmacist
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corona Drug,Inc. | 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": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629291414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2105 S. SAN PEDRO STREET",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90011",
"telephone_number": "213-749-4174",
"fax_number": "213-749-8818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2105 S SAN PEDRO ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900111125",
"telephone_number": "213-749-4174",
"fax_number": "213-749-8818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YUN",
"first_name": "KENNETH",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "54909",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.