Active NPI
Jeh Corp
- Community/Retail Pharmacy
- Buena Park, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- JEH CORP
- Practice address
- 6771 Beach Blvd Ste E
Buena Park, CA 90621-3470 - Phone
- (714) 752-6027
- NPI assigned
- Dec 26, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eun Hae Jung
- Title
- The Owner
- Phone
- (562) 665-1012
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
6771 Beach Blvd Ste E
Buena Park, CA 90621-3470
Mailing address
6771 Beach Blvd Ste E
Buena Park, CA 90621-3470
Phone (714) 752-6027
Other names 1
- Jung Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230821001134 | CA | Part B Supplier - Mass Immunization (Roster Biller Only) | 5799147963 | Practice locations: Buena Park, CA |
| O20240604003817 | CA | DME Supplier - Pharmacy | 5799147963 | Practice locations: Buena Park, CA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2286732 | Jung Pharmacy | Certificate of waiver | Aug 1, 2027 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Jung Pharmacy | Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Infrared Heating Pads Systems and/or Supplies|Insulin Infusion Pumps and/or Supplies|Canes and/or Crutches|Patient Lifts|Walkers|Orthoses: Off-The-Shelf|Nebulizer Equipment and/or Supplies|Diabetic … | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
6771 Beach Blvd
Ste E
Buena Park, CA 90621
Phone (714) 752-6027
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Buena Park, CA
- NPI 1215385240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672012800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687132800000",
"number": "1851004683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6771 BEACH BLVD STE E",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906213470",
"telephone_number": "714-752-6027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6771 BEACH BLVD STE E",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906213470",
"telephone_number": "714-752-6027"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEH CORP",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-26",
"last_updated": "2023-06-19",
"certification_date": "2023-06-19",
"status": "A",
"authorized_official_last_name": "JUNG",
"authorized_official_first_name": "EUN HAE",
"authorized_official_title_or_position": "THE OWNER",
"authorized_official_telephone_number": "562-665-1012"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Jung Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Buena Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.