Bunnaun Uch

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

BUNNAUN UCH

Doing business as

Angkor Pharmacy

Practice address

4555 N Pershing Ave Ste 7
Stockton, CA 95207-6739

Phone

(209) 888-2099

Fax

(209) 888-2105

NPI assigned

Oct 2, 2017

Organization subpart

No

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

Authorized official

Name

Bunnaun UchNPI 1437432176

Title

Owner

Phone

(209) 888-2099

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Angkor Pharmacy Doing business as

Practitioners 1

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

• Bunnaun Uch, PHARM D

  • Pharmacist
  • Stockton, CA
  • NPI 1437432176
  NPD Authorized official

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592179200000",
    "number": "1699285973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4555 N PERSHING AVE STE 7",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076739",
            "telephone_number": "209-473-4706",
            "fax_number": "209-473-7377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4555 N PERSHING AVE STE 7",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076739",
            "telephone_number": "209-888-2099",
            "fax_number": "209-888-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUNNAUN UCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-02",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A",
        "authorized_official_last_name": "UCH",
        "authorized_official_first_name": "BUNNAUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-888-2099"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA BOARD OF PHARMACY",
            "identifier": "PHY53262",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angkor Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kalea Bulmer
• Anthony Castillo Bunales
• Bunch-Payne, Oral and Maxillofacial Surgery
• Frederick Lyle Bunch, D.D.S., M.S.
• Bunnaun Uch
• Zackaria Araissi Bunnell
• Yvette Bunting
• Mia Buonanno
• Buphant Society
• Justine Burbank

• Long Term Care Pharmacy in Stockton, CA
• Providers in Stockton, CA by specialty
• Long Term Care Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.