Organization Active NPI

Young'S Pharmacy ,Inc.

  • Community/Retail Pharmacy
  • Van Nuys, CA
National Provider Identifier
1669418315
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY36169 Issued in CA
Legal business name
YOUNG'S PHARMACY ,INC.
Practice address
7134 Van Nuys Blvd
Van Nuys, CA 91405-3005
Phone
(818) 787-9339
Fax
(818) 787-0189
NPI assigned
Jun 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Young Sook Sung, R.PH.NPI 1124045109
Title
President
Phone
(818) 787-9339

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY36169 CA Primary

Addresses

Primary practice location

7134 Van Nuys Blvd
Van Nuys, CA 91405-3005

Mailing address

7134 Van Nuys Blvd
Van Nuys, CA 91405-3005
Phone (818) 787-9339

Other identifiers 1

IdentifierTypeStateIssuer
PHA361690MedicaidCA

National Provider Directory

National Provider Directory

Locations

7134 Van Nuys Blvd
Van Nuys, CA 91405
Phone (818) 787-9339

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669418315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7134 VAN NUYS BLVD",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053005",
            "telephone_number": "818-787-9339",
            "fax_number": "818-787-0189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7134 VAN NUYS BLVD",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053005",
            "telephone_number": "818-787-9339",
            "fax_number": "818-787-0189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG'S PHARMACY ,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SUNG",
        "authorized_official_first_name": "YOUNG",
        "authorized_official_middle_name": "SOOK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-787-9339",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY36169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA361690",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.