Active NPI
Jery Yu
- Pharmacist
- Alhambra, CA
National Provider Identifier
1932878295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 85051
- Practice address
- 816 E Main St
Alhambra, CA 91801-4054 - Phone
- (626) 293-5750
- NPI assigned
- Sep 9, 2021
- 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 | 85051 | CA | Primary |
Addresses
Primary practice location
816 E Main St
Alhambra, CA 91801-4054
Mailing address
2701 W Grand Ave
Alhambra, CA 91801-1638
Phone (626) 224-7405
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 |
|---|---|---|---|
| 85051 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631145600000",
"number": "1932878295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2701 W GRAND AVE",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918011638",
"telephone_number": "626-224-7405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "816 E MAIN ST",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918014054",
"telephone_number": "626-293-5750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YU",
"first_name": "JERY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-09-09",
"last_updated": "2021-09-09",
"certification_date": "2021-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "85051",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alhambra, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.