Active NPI
Austin Kang
- Pharmacist
- Soledad, CA
National Provider Identifier
1780248641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 78539
- Practice address
- 2293 H Dela Rosa Sr St
Soledad, CA 93960-3382 - Phone
- (831) 678-5110
- Fax
- (831) 678-5105
- NPI assigned
- Apr 26, 2019
- Last updated
- Apr 26, 2019
- 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 | 78539 | CA | Primary |
Addresses
Primary practice location
2293 H Dela Rosa Sr St
Soledad, CA 93960-3382
Mailing address
2293 H Dela Rosa Sr St
Soledad, CA 93960-3382
Phone (831) 678-5110
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 |
|---|---|---|---|
| 78539 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longs Drug Store California LLC | Past | Accepting new patients | |
| Longs Drug Stores California LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556236800000",
"number": "1780248641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2293 H DELA ROSA SR ST",
"city": "SOLEDAD",
"state": "CA",
"postal_code": "939603382",
"telephone_number": "831-678-5110",
"fax_number": "831-678-5105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2293 H DELA ROSA SR ST",
"city": "SOLEDAD",
"state": "CA",
"postal_code": "939603382",
"telephone_number": "831-678-5110",
"fax_number": "831-678-5105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANG",
"first_name": "AUSTIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-26",
"last_updated": "2019-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "78539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Soledad, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.