JUNGYEON MOON (NPI# 1124639216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124639216 |
| Entity Type | Individual |
| Full Name | JUNGYEON MOON |
| Credential | PHARMACIST |
| Practice Address |
1038 Grand Ave Apt 39n Diamond Bar CA 91765-4164 |
| Practice Telephone | 9099735019 |
| Mailing Telephone | 9099735019 |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2020-08-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 82890 | CA | Pharmacy Service Providers |
| Street Address |
1038 GRAND AVE APT 39N |
| City | DIAMOND BAR |
| State | CA |
| Zip Code | 91765-4164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093354839 | American Fertility Medical Center Corporation | Clinic/Center | 1370 Valley Vista Dr Suite 135, Diamond Bar, CA 91765 | 2019-12-26 |
| 1780221101 | Jong Moon Lee | Dentist | 1108 So. Diamond Bar Blvd. Diamond Bar, Diamond Bar, CA 91765 | 2019-12-04 |
| 1740741271 | Dr Doshi Dds Dental Corporation | Dentist | 3209 S Brea Canyon Road Suite #f, Diamond Bar, CA 91765 | 2019-03-27 |
| 1669998423 | Justin Leopoldo Lopez | Behavior Technician | 3230 Fallow Field Dr., Diamond Bar, CA 91765 | 2017-08-14 |
| 1295258564 | Chino Care Inc. | Clinic/Center | 5402 Philadelphia St., Suite C, Chino, CA 91765 | 2017-07-19 |
| 1962942292 | Sonia Wurtenberger | Marriage & Family Therapist | 21660 Copley Drive, Suite 210, Diamond Bar, CA 91765 | 2017-03-06 |
| 1225575863 | Swapnaja M Honnakore | Speech-Language Pathologist | 706 N. Diamond Bar Blvd, B2, Diamond Bar, CA 91765 | 2017-01-20 |
| 1659816106 | Transit Solutions | Non-emergency Medical Transport (VAN) | 23545 Palomino Dr., 518, Diamond Bar, CA 91765 | 2016-12-19 |
| 1316498215 | Rite Aid | Pharmacy | 2059 S Garey Avenue, Pomona, CA 91765 | 2016-10-17 |
| 1104372978 | Marie Claude Dor | Registered Nurse | 2704 Castle Rock Road, Diamond Bar, CA 91765 | 2016-08-31 |
| Find all providers in zip 91765 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710599618 | Jenny Guan | Pharmacist | 1901 Los Cerros Dr, Diamond Bar, CA 91765-2744 | 2020-08-21 |
| 1992331664 | Yoonsun Nam | Pharmacist | 2129 Dublin Ln Unit 2, Diamond Bar, CA 91765-6253 | 2020-03-13 |
| 1629632559 | Dennis Lew | Pharmacist | 3401 Falcon Ridge Rd, Diamond Bar, CA 91765-3740 | 2019-04-25 |
| 1548787484 | Hanaa Wadie Morcos | Pharmacist | 476 Covered Wagon Dr, Diamond Bar, CA 91765-1741 | 2017-08-22 |
| 1770007999 | Anas Al-qazzaz | Pharmacist | 1400 Bodega Way Unit 2, Diamond Bar, CA 91765-2596 | 2017-07-29 |
| 1386188019 | Tamlyn Ige | Pharmacist | 1632 Range Ct, Diamond Bar, CA 91765-4318 | 2016-12-15 |
| 1770842791 | Melonee Deniese Weaver | Pharmacist | 24314 Sylvan Glen Rd Unit D, Diamond Bar, CA 91765-4536 | 2012-05-10 |
| 1962777813 | Evelyn-anh Tuong Hoang | Pharmacist | 1010 Summitridge Dr, Diamond Bar, CA 91765-4364 | 2012-03-11 |
| 1700155066 | Caleb D Kim | Pharmacist | 24415 Penrose Ct, Diamond Bar, CA 91765-4350 | 2011-12-15 |
| 1972820876 | Donna T Sun | Pharmacist | 2797 S Diamond Bar Blvd, Diamond Bar, CA 91765-3513 | 2010-05-01 |
| Find all providers in DIAMOND BAR | ||||
| City | DIAMOND BAR |
| Zip Code | 91765 |
Please comment or provide details below to improve the information on JUNGYEON MOON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.