Yung Sun Song – Pharmacist in Sun Lakes, AZ

Key facts

NPI: 1972022143
Entity type: Individual (NPI type 1)
Primary specialty: Pharmacist 183500000X
License: S022698 (AZ)
Practice address: 10324 E Riggs Rd
Sun Lakes, AZ 85248-7625
Phone: (480) 895-0761
NPI assigned: Sep 19, 2017
Sex: Female
Sole proprietor: Yes

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
S022698	AZ	MD	Pharmacist

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pharmacist	183500000X	S022698	AZ	Yes

Addresses

Primary practice location

10324 E Riggs Rd
Sun Lakes, AZ 85248-7625

Mailing address

1889 W Queen Creek Rd Apt 1093
Chandler, AZ 85248-3087
Phone (480) 577-0305

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 19, 2017.

{
    "created_epoch": "1505779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505779200000",
    "number": "1972022143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1889 W QUEEN CREEK RD APT 1093",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852483087",
            "telephone_number": "480-577-0305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10324 E RIGGS RD",
            "city": "SUN LAKES",
            "state": "AZ",
            "postal_code": "852487625",
            "telephone_number": "480-895-0761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "YUNG SUN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-19",
        "last_updated": "2017-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S022698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun Lakes, AZ

All providers in Sun Lakes, AZ · Pharmacist in Arizona

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2017. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.