Active NPI
Ylien Phung
- Pharmacist
- Eagle Butte, SD
National Provider Identifier
1740524438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS 49141
- Practice address
- 24276 166TH Street
Eagle Butte, SD 57625 - Phone
- (605) 964-0650
- NPI assigned
- Nov 19, 2012
- 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 | PS 49141 | FL | Primary |
Addresses
Primary practice location
24276 166TH Street
Eagle Butte, SD 57625
Mailing address
24276 166TH St.
Cheyenne River Health Unit
Eagle Butte, SD 57625
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 |
|---|---|---|---|
| PS 49141 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353283200000",
"number": "1740524438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24276 166TH ST.",
"address_2": "CHEYENNE RIVER HEALTH UNIT",
"city": "EAGLE BUTTE",
"state": "SD",
"postal_code": "57625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24276 166TH STREET",
"city": "EAGLE BUTTE",
"state": "SD",
"postal_code": "57625",
"telephone_number": "605-964-0650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHUNG",
"first_name": "YLIEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-11-19",
"last_updated": "2012-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS 49141",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eagle Butte, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.