Man Young Jung

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY33830 Issued in CA

Legal business name

MAN YOUNG JUNG

Practice address

2264 Lincoln Ave
Altadena, CA 91001-5432

Phone

(626) 794-7197

Fax

(626) 794-3371

NPI assigned

Feb 13, 2007

Organization subpart

No

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

Authorized official

Name

Jun Jung, RPH

Title

Owner

Phone

(626) 794-7197

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• MATS PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241395200000",
    "number": "1790827673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2264 LINCOLN AVE",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "910015432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2264 LINCOLN AVE",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "910015432",
            "telephone_number": "626-794-7197",
            "fax_number": "626-794-3371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAN YOUNG JUNG",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2009-05-04",
        "status": "A",
        "authorized_official_last_name": "JUNG",
        "authorized_official_first_name": "JUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-794-7197",
        "authorized_official_credential": "RPH"
    },
    "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": "PHY33830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0528109",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MATS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lynuscare LLC
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• Tomiko D Mackey, MSW
• Cristina T Magana, LVN
• Victoria Magdaleno
• Joseph Manafa
• Manatee Care
• Philip Gordon Marais
• Marisol Martinez, D.C., Chiropractic Inc.
• Antonio Harvey Martin

• Community/Retail Pharmacy in Altadena, CA
• Providers in Altadena, 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 4, 2009; 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.