Active NPI
Noah Chung, PHARMD
- Pharmacist
- Chino, CA
National Provider Identifier
1891104063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 61456
- Practice address
- 3943 Grand Ave
Chino, CA 91710-5440 - Phone
- (909) 590-7597
- NPI assigned
- Aug 12, 2014
- Sex
- Male
- 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 | 61456 | CA | Primary |
Addresses
Primary practice location
3943 Grand Ave
Chino, CA 91710-5440
Mailing address
18110 Spyglass HL
Yorba Linda, CA 92886-6136
Phone (714) 402-3966
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61456 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407801600000",
"number": "1891104063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18110 SPYGLASS HL",
"city": "YORBA LINDA",
"state": "CA",
"postal_code": "928866136",
"telephone_number": "714-402-3966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3943 GRAND AVE",
"city": "CHINO",
"state": "CA",
"postal_code": "917105440",
"telephone_number": "909-590-7597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUNG",
"first_name": "NOAH",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-08-12",
"last_updated": "2014-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "61456",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.