Active NPI
Yulee Chang, PHARM.D.
- Pharmacist
- Fort Bragg, CA
National Provider Identifier
1962838250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 69438
- Practice address
- 660 S Main St
Fort Bragg, CA 95437-5108 - Phone
- (707) 964-4058
- Fax
- (707) 964-1729
- NPI assigned
- Sep 19, 2013
- Last updated
- Jul 6, 2014
- Sex
- Female
- 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 | 69438 | CA | Primary |
Addresses
Primary practice location
660 S Main St
Fort Bragg, CA 95437-5108
Mailing address
660 S Main St
Fort Bragg, CA 95437-5108
Phone (707) 964-4058
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 |
|---|---|---|---|
| 69438 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safeway Inc | Past | Accepting new patients | |
| Safeway Inc | 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, 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": "1379548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404604800000",
"number": "1962838250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 S MAIN ST",
"city": "FORT BRAGG",
"state": "CA",
"postal_code": "954375108",
"telephone_number": "707-964-4058",
"fax_number": "707-964-1729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "660 S MAIN ST",
"city": "FORT BRAGG",
"state": "CA",
"postal_code": "954375108",
"telephone_number": "707-964-4058",
"fax_number": "707-964-1729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "YULEE",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-19",
"last_updated": "2014-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "69438",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Bragg, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.