Active NPI
Queena Sun
- Pharmacist
- West Covina, CA
National Provider Identifier
1881122372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 73534
- Practice address
- 727 S Glendora Ave
West Covina, CA 91790-3707 - Phone
- (626) 337-7285
- Fax
- (626) 337-7285
- NPI assigned
- May 26, 2017
- Last updated
- May 26, 2017
- Sex
- Female
- 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 | 73534 | CA | Primary |
Addresses
Primary practice location
727 S Glendora Ave
West Covina, CA 91790-3707
Mailing address
727 S Glendora Ave
West Covina, CA 91790-3707
Phone (626) 337-7285
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 |
|---|---|---|---|
| 73534 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longs Drug Stores California LLC | Past | Accepting new patients |
Organizations & group practices 1
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": "1495756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1495756800000",
"number": "1881122372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "727 S GLENDORA AVE",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917903707",
"telephone_number": "626-337-7285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "727 S GLENDORA AVE",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917903707",
"telephone_number": "626-337-7285",
"fax_number": "626-337-7285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUN",
"first_name": "QUEENA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-26",
"last_updated": "2017-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "73534",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.