William Chung

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY40882 Issued in CA

Legal business name

WILLIAM CHUNG

Practice address

1902 Royalty Dr
Ste110
Pomona, CA 91767-3030

Phone

(909) 620-0343

Fax

(909) 629-1748

NPI assigned

Aug 17, 2005

Organization subpart

No

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

Authorized official

Name

Marla Freed

Title

Delegated Official

Phone

(909) 982-4843

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• CBC ROYALTY PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400630400000",
    "number": "1700878675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1932 ERVILLA PL",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673019",
            "telephone_number": "909-629-2823",
            "fax_number": "909-629-2891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 ROYALTY DR",
            "address_2": "STE110",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673030",
            "telephone_number": "909-620-0343",
            "fax_number": "909-629-1748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM CHUNG",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-17",
        "last_updated": "2014-05-21",
        "status": "A",
        "authorized_official_last_name": "FREED",
        "authorized_official_first_name": "MARLA",
        "authorized_official_title_or_position": "DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "909-982-4843"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY40882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA408820",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2075322",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CBC ROYALTY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wilbert T Tsai MD Inc
• Asili Maisha Wilbourn, LVN
• Paulette Wiley
• Kassandra Jenniene Wilfong
• Trinity Wilkes
• William R Hale MD Inc
• William R Hale MD Prima Care PT
• Marquita Williams-Brown, REGISTERED NURSE
• Amber Elaine Williams, FNP
• Bria Williams

• Community/Retail Pharmacy in Pomona, CA
• Providers in Pomona, 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 May 21, 2014; 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.