Active NPI
Brian Fung, PHARMD, MPH
- Pharmacist
- Washington, DC
National Provider Identifier
1639876139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS50431
- Practice address
- 2121 1St St SW Apt 839
Washington, DC 20024-3761 - Phone
- (202) 750-5692
- NPI assigned
- Feb 14, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 122628 | MN | |
| Pharmacist | 183500000X | 9027449-1701 | UT | |
| Pharmacist | 183500000X | PS50431 | FL | Primary |
Addresses
Primary practice location
2121 1St St SW Apt 839
Washington, DC 20024-3761
Mailing address
2121 1St St SW Apt 839
Washington, DC 20024-3761
Phone (202) 750-5692
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 122628 | Other | MN | MINNESOTA BOARD OF PHARMACY |
| PS50431 | Other | FL | FLORIDA BOARD OF PHARMACY |
| 9027449-1701 | Other | UT | UTAH DIVISION OF PROFESSIONAL LICENSING |
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 |
|---|---|---|---|
| PS50431 | FL | MD | Pharmacist |
| 122628 | MN | MD | Pharmacist |
| 9027449-1701 | UT | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676332800000",
"number": "1639876139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 1ST ST SW APT 839",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200243761",
"telephone_number": "202-750-5692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 1ST ST SW APT 839",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200243761",
"telephone_number": "202-750-5692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUNG",
"first_name": "BRIAN",
"credential": "PHARMD, MPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-02-14",
"last_updated": "2023-02-14",
"certification_date": "2023-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "122628",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "UT",
"license": "9027449-1701",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS50431",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MINNESOTA BOARD OF PHARMACY",
"identifier": "122628",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA BOARD OF PHARMACY",
"identifier": "PS50431",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UTAH DIVISION OF PROFESSIONAL LICENSING",
"identifier": "9027449-1701",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.