Chung Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

CF00004907 Issued in WA

Legal business name

CHUNG PHARMACY INC

Practice address

9122 S Tacoma Way Ste 104
Tacoma, WA 98499-4406

Phone

(253) 584-2484

Fax

(253) 584-6094

NPI assigned

Jan 26, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Chris D Chung, RPH

Title

Pharmacist President

Phone

(253) 584-2484

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Chung Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972659233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9122 S TACOMA WAY STE 104",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984994406",
            "telephone_number": "253-584-2484",
            "fax_number": "253-584-6094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9122 S TACOMA WAY STE 104",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984994406",
            "telephone_number": "253-584-2484",
            "fax_number": "253-584-6094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHUNG PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHARMACIST PRESIDENT",
        "authorized_official_telephone_number": "253-584-2484",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "CF00004907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6020689",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chung Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard Membrere Chua, PHARM.D.
• Shiyun Chua, M.B., B.CHIR
• Kevin Chuang, O.D.
• Nicole Chudoba
• Matthew Sung Chui
• Bri Chung
• Crystal Hui-Lin Chung, PA C
• Jessica Chung
• Julie Suna Chung, LICSW
• Shannon Chung, MA SUDPT

• Community/Retail Pharmacy in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Community/Retail Pharmacy in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.