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JUNG SUN LEE NPI 1265576219


NPI Information

NPI: 1265576219
Provider Name: JUNG SUN LEE

Doing Business As: KINGSLEY PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
3663 W 6TH ST
SUITE 102
LOS ANGELES, CA
ZIP 90020
Phone: (213) 383-8877
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JUNG SUN LEE is a community/retail pharmacy pharmacy in Los Angeles, CA. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. JUNG SUN LEE NPI is 1265576219. The provider is registered as an organization entity type.
The provider Is Doing Business As Kingsley Pharmacy.

The provider's business location address is:

3663 W 6TH ST
SUITE 102
LOS ANGELES, CA
ZIP 90020-049
Phone: (213) 383-8877
Fax: (213) 368-1590

The provider's authorized official is Jung Sun Lee .
The authorized official title is Owner, Pharmacist and has the following contact phone number (213) 383-8877.

The enumeration date for this NPI number is 2/16/2007 and was last updated on 8/1/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail PharmacyPHY 37825CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10937400001MEDICARE NSCCALIFORNIA
2PHA378250MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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