Active NPI
Yung Sun Song
- Pharmacist
- Sun Lakes, AZ
National Provider Identifier
1972022143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S022698
- Practice address
- 10324 E Riggs Rd
Sun Lakes, AZ 85248-7625 - Phone
- (480) 895-0761
- NPI assigned
- Sep 19, 2017
- Last updated
- Sep 19, 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 | S022698 | AZ | Primary |
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
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 |
|---|---|---|---|
| S022698 | AZ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"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
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.