Active NPI
Jin Ju NA, PHARM D
- Pharmacotherapy Pharmacist
- Irvine, CA
National Provider Identifier
1659699825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 52038
- Practice address
- 18112 Culver Dr
Irvine, CA 92612-2730 - Phone
- (949) 786-0151
- Fax
- (949) 786-8262
- NPI assigned
- May 12, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 52038 | CA | Primary |
Addresses
Primary practice location
18112 Culver Dr
Irvine, CA 92612-2730
Mailing address
18112 Culver Dr
Irvine, CA 92612-2730
Phone (949) 786-0151
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 52038 | Other | CA | REGISTERED PHARMACIST |
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 |
|---|---|---|---|
| 52038 | CA | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273622400000",
"number": "1659699825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18112 CULVER DR",
"city": "IRVINE",
"state": "CA",
"postal_code": "926122730",
"telephone_number": "949-786-0151",
"fax_number": "949-786-8262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18112 CULVER DR",
"city": "IRVINE",
"state": "CA",
"postal_code": "926122730",
"telephone_number": "949-786-0151",
"fax_number": "949-786-8262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NA",
"first_name": "JIN",
"middle_name": "JU",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-12",
"last_updated": "2010-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "CA",
"license": "52038",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED PHARMACIST",
"identifier": "52038",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.