Active NPI
Byungrye Jung
- Pharmacist
- Tigard, OR
National Provider Identifier
1790372126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH-0017463
- Practice address
- 9009 SW Hall Blvd
Tigard, OR 97223-4432 - Phone
- (503) 639-3446
- NPI assigned
- Dec 31, 2020
- Last updated
- Dec 31, 2020
- Sex
- Male
- Sole proprietor
- No
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 | RPH-0017463 | OR | Primary |
Addresses
Primary practice location
9009 SW Hall Blvd
Tigard, OR 97223-4432
Mailing address
19705 SW Boones Ferry Rd Apt 1
Tualatin, OR 97062-9449
Phone (617) 775-8336
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 |
|---|---|---|---|
| RPH-0017463 | OR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609372800000",
"number": "1790372126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19705 SW BOONES FERRY RD APT 1",
"city": "TUALATIN",
"state": "OR",
"postal_code": "970629449",
"telephone_number": "617-775-8336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9009 SW HALL BLVD",
"city": "TIGARD",
"state": "OR",
"postal_code": "972234432",
"telephone_number": "503-639-3446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUNG",
"first_name": "BYUNGRYE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-31",
"last_updated": "2020-12-31",
"certification_date": "2020-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0017463",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tigard, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.