Active NPI
Bernard David Kung
- Pharmacist
- West Sacramento, CA
National Provider Identifier
1811437635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 47671
- Practice address
- 1351 W Capitol Ave
West Sacramento, CA 95691-3213 - Phone
- (916) 371-3801
- Fax
- (916) 371-8401
- NPI assigned
- Feb 27, 2017
- 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 | 47671 | CA | Primary |
Addresses
Primary practice location
1351 W Capitol Ave
West Sacramento, CA 95691-3213
Mailing address
1351 W Capitol Ave
West Sacramento, CA 95691-3213
Phone (916) 371-3801
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093720377 | Medicaid | CA |
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 |
|---|---|---|---|
| 47671 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488153600000",
"number": "1811437635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1351 W CAPITOL AVE",
"city": "WEST SACRAMENTO",
"state": "CA",
"postal_code": "956913213",
"telephone_number": "916-371-3801",
"fax_number": "916-371-8401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1351 W CAPITOL AVE",
"city": "WEST SACRAMENTO",
"state": "CA",
"postal_code": "956913213",
"telephone_number": "916-371-3801",
"fax_number": "916-371-8401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUNG",
"first_name": "BERNARD",
"middle_name": "DAVID",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-02-27",
"last_updated": "2017-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "47671",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1093720377",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.