Active NPI
Jerry Yi-Kang Ku, PHARMD. RPH
- Pharmacist
- Bakersfield, CA
National Provider Identifier
1740613736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 65835
- Practice address
- 3501 Stockdale Hwy
Bakersfield, CA 93309-2150 - Phone
- (661) 398-5055
- Fax
- (661) 398-5040
- NPI assigned
- Aug 14, 2013
- Sex
- Male
- 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 | 65835 | CA | Primary |
Addresses
Primary practice location
3501 Stockdale Hwy
Bakersfield, CA 93309-2150
Mailing address
3501 Stockdale Hwy
Bakersfield, CA 93309-2150
Phone (661) 398-5055
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
- Credentials
- Doctor of Pharmacy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65835 | CA | MD | Administrator Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376438400000",
"number": "1740613736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3501 STOCKDALE HWY",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933092150",
"telephone_number": "661-398-5055",
"fax_number": "661-398-5040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 STOCKDALE HWY",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933092150",
"telephone_number": "661-398-5055",
"fax_number": "661-398-5040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KU",
"first_name": "JERRY",
"middle_name": "YI-KANG",
"name_prefix": "Dr.",
"credential": "PHARMD. RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-08-14",
"last_updated": "2013-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "65835",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.