Pacific Pharmacy Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHA467170 Issued in CA

Legal business name

PACIFIC PHARMACY INC.

Practice address

207 S Santa Anita Ave
Suite G-10
San Gabriel, CA 91776-1146

Phone

(626) 281-6800

Fax

(626) 281-6696

NPI assigned

Jul 23, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Lynn Ung, R. PHNPI 1164446068

Title

Ceo

Phone

(626) 281-6800

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Pacific Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Pacific Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pacific Pharmacy Inc.

  • Long Term Care Pharmacy
  • San Gabriel, CA
  • NPI 1952100869
  NPD tax ID

Practitioners 3

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

• Lynn Ung, R. PH

  • Pharmacist
  • San Gabriel, CA
  • NPI 1164446068
  NPD Authorized official
• Bowen Li, PHARM.D.

  • Pharmacist
  • Santa Cruz, CA
  • NPI 1730849738
  NPD (past)
• Justine Ung, PHARM.D, BCPS

  • Pharmacist
  • San Gabriel, CA
  • NPI 1891177952
  NPD (past)

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1700808649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 S SANTA ANITA AVE",
            "address_2": "STE. G-10",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761146",
            "telephone_number": "626-281-6800",
            "fax_number": "626-281-6696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 S SANTA ANITA AVE",
            "address_2": "SUITE G-10",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761146",
            "telephone_number": "626-281-6800",
            "fax_number": "626-281-6696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A",
        "authorized_official_last_name": "UNG",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-281-6800",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R. PH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHA467170",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "PHA467170",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA467170",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lauren Kiyomi Oshiro, SLP-CCC
• Ping Ouyang
• Pacific Home Health Care Inc
• Pacific Horizon Medical Center Inc.
• Pacific Medical Communications, Inc.
• Pacific Pharmacy Inc.
• Dana Pan, MD
• Wen Kuei Pan, M.D.
• Yue Xing Pan, L.AC.
• Panda Home Healthcare Inc

• Community/Retail Pharmacy in San Gabriel, CA
• Providers in San Gabriel, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.