Active NPI
Seulji Chang
- Pharmacist
- Corcoran, CA
National Provider Identifier
1669083028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 82790
- Practice address
- 1115 Whitley Ave
Corcoran, CA 93212-2325 - Phone
- (559) 992-2138
- NPI assigned
- Aug 11, 2020
- Last updated
- Sep 12, 2020
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 82790 | CA | Primary |
Addresses
Primary practice location
1115 Whitley Ave
Corcoran, CA 93212-2325
Mailing address
920 N Woodland St Apt 102
Visalia, CA 93291-4765
Phone (404) 844-9558
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
| License | State | Type | Specialty |
|---|---|---|---|
| 82790 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sav-on Drug Stores Inc | Current | Accepting new patients | |
| Aycc Pharmacy Inc | Past | Accepting new patients |
Locations
1115 Whitley Ave
Corcoran, CA 93212
Phone (559) 992-2138
Organizations & group practices 2
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.
-
dba Corcoran Drug Store
- Community/Retail Pharmacy
- Corcoran, CA
- NPI 1013894724
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599868800000",
"number": "1669083028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 N WOODLAND ST APT 102",
"city": "VISALIA",
"state": "CA",
"postal_code": "932914765",
"telephone_number": "404-844-9558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 WHITLEY AVE",
"city": "CORCORAN",
"state": "CA",
"postal_code": "932122325",
"telephone_number": "559-992-2138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "SEULJI",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-11",
"last_updated": "2020-09-12",
"certification_date": "2020-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "82790",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corcoran, CA
- California Department of Corrections and Rehabiliations
- California Substance Abuse Treatment Facility-State Prison
- Tifani Jill Carlsen, PPS
- Anthony Valdez Casillas
- Central Valley Maternal & Child Care Centers
- Michele Ann Chapman, M.D.
- Shiveta Cherwoo
- Caitlin Chinn-Goshgarian, PH.D.
- Barry Chong, PH.D.
- Kassandre J Clayton, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.