SOO MIN JANG (NPI# 1184066334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184066334 |
| Entity Type | Individual |
| Full Name | SOO MIN JANG |
| Credential | PHARM.D. |
| Practice Address |
250 S G St San Bernardino CA 92410 |
| Mailing Address |
24745 Stewart St Loma Linda CA 92350-1719 |
| Practice Telephone | 9093827100 |
| Enumeration Date | 2013-07-29 |
| Last Update Date | 2018-05-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
20058256 | NY | Pharmacy Service Providers |
| Y | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
72535 | CA | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 106 New Scotland Ave, Ob 227, Albany, NY 122083425 | 5186947289 |
| Street Address |
250 S G ST |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346412244 | Matthew Bryan Fong | Pediatrics | 250 S G St, San Bernardino, CA 92410-3320 | 2008-03-31 |
| 1528693504 | Sac Health System | Clinic/Center | 250 S G St, San Bernardino, CA 92410-3320 | 2020-03-10 |
| 1437784410 | Sac Health System | Clinic/Center | 250 S G St, San Bernardino, CA 92410-3320 | 2020-03-10 |
| 1275167926 | Alma Rosa Vazquez | Social Worker | 250 S G St, San Bernardino, CA 92410-3320 | 2020-03-02 |
| 1407494750 | Joshua Joseph Masih | Nurse Practitioner | 250 S G St, San Bernardino, CA 92410-3320 | 2019-12-17 |
| 1366085359 | Anna Kim | Pharmacist | 250 S G St, San Bernardino, CA 92410-3320 | 2019-10-22 |
| 1104467190 | Karin Cecilia Ulltjaern | Nurse Practitioner | 250 S G St, San Bernardino, CA 92410-3320 | 2019-10-01 |
| 1144781733 | Monique Roach | Social Worker | 250 S G St, San Bernardino, CA 92410-3320 | 2019-03-27 |
| 1043721939 | Sac Health System | Family Medicine | 250 S G St, San Bernardino, CA 92410-3320 | 2017-10-18 |
| 1538688486 | Rocco J Massimiano | Pharmacist | 250 S G St, San Bernardino, CA 92410-3320 | 2017-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902303472 | Reina Elora Garcia | Student in an Organized Health Care Education/Training Program | 775 E Base Line St Spc 4, San Bernardino, CA 92410 | 2018-04-10 |
| 1558889881 | Salaunge Lopez | Non-emergency Medical Transport (VAN) | 25942 Baseline St Apt D203, San Bernardino, CA 92410 | 2017-09-07 |
| 1902328578 | Kelly Canady | Counselor | 1100 N. D St., San Bernardino, CA 92410 | 2017-07-14 |
| 1881058592 | Terron Thomas | Contractor | 445 South G, Unit B, San Bernardino, IN 92410 | 2016-04-08 |
| 1982064572 | Zachary Norton-martinez | Specialist/Technologist | 650 Del Rosa Dr, San Bernardino, CA 92410 | 2016-02-25 |
| 1003280934 | Brenda Boyle | Nurse Practitioner | 1455 East 3rd Street, San Bernardino, CA 92410 | 2015-11-16 |
| 1689045197 | Bryan Carter | Physician Assistant | 1455 E 3rd Street, San Bernardino, CA 92410 | 2015-10-09 |
| 1801270137 | Sac Health System | Clinic/Center | 250 South G Street, San Bernardino, CA 92410 | 2015-07-16 |
| 1467852269 | Wilson Dentistry, Inc. | Dentist | 1063 N. D St, San Bernardino, CA 92410 | 2014-08-28 |
| 1629405345 | Terrence John Forrester | Social Worker | 1455 E. 3rd St, San Bernardino, CA 92410 | 2013-09-27 |
| Find all providers in zip 92410 | ||||
| Taxonomy Code | 1835P2201X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Ambulatory Care |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community. |
| Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [7/1/2015: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124578562 | Mohini Suchak | Pharmacist | 2121 N D St, San Bernardino, CA 92405-3915 | 2016-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619580909 | Maureen Elizabeth Shelley | Pharmacist | 1212 Pico St Rm 141, San Fernando, CA 91340-3503 | 2020-08-26 |
| 1295351419 | Alice Khalil | Pharmacist | 7555 Van Nuys Blvd # 1071, Van Nuys, CA 91405-1949 | 2020-06-23 |
| 1235752304 | Hang-thu Thi Nguyen | Pharmacist | 4131 Geary Blvd Ste B10, San Francisco, CA 94118-3101 | 2020-05-24 |
| 1861013609 | Karine Wong | Pharmacist | 8264 Noelle Dr, Huntington Beach, CA 92646-6928 | 2020-05-04 |
| 1023656683 | Kenny Tavoc | Pharmacist | 275 N El Cielo Rd Ste C325, Palm Springs, CA 92262-6972 | 2019-12-13 |
| 1124665294 | Paula Kyonghwa Kang | Pharmacist | 23444 Coyote Springs Dr, Diamond Bar, CA 91765-2652 | 2019-12-06 |
| 1194373985 | Louis Ho | Pharmacist | 1225 Wilshire Blvd Ste 201, Los Angeles, CA 90017-1901 | 2019-08-27 |
| 1669026076 | Alan Nguyen | Pharmacist | 1190 Veterans, Cypress Building, Medical Station E, Redwood City, CA 94603-9460 | 2019-07-25 |
| 1174175871 | Patrick Febre | Pharmacist | 3651 Business Dr Ste 100, Sacramento, CA 95820-2176 | 2019-07-12 |
| 1659835866 | Patti Chung | Pharmacist | 200 Medical Plaza Ste 426, Los Angeles, CA 90095-0001 | 2019-01-23 |
| Find all providers with the same taxonomy | ||||
| City | SAN BERNARDINO |
| Zip Code | 92410 |
Please comment or provide details below to improve the information on SOO MIN JANG.
| 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.