BUNNAUN UCH (NPI# 1306939749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306939749 |
| Entity Type | Organization |
| Organization Name | BUNNAUN UCH |
| Other Organization Name | ANGKOR PHARMACY |
| Practice Address |
4555 N Pershing Ave Ste 7 Stockton CA 95207-6740 |
| Practice Telephone | 2098882099 |
| Practice Fax Number | 2098882105 |
| Mailing Telephone | 2094734706 |
| Mailing Fax Number | 2094737377 |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2020-06-15 |
| Authorized Official Name | BUNNAUN UCH (OWNER/PIC) |
| Authorized Official Telephone | 2098882099 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2151610 | 01 | |
| CA | PHA532620 | 05 |
| Other Name | Type Code |
|---|---|
| Angkor Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699285973 | Bunnaun Uch | Pharmacy | 4555 N Pershing Ave Ste 7, Stockton, CA 95207-6739 | 2017-10-02 |
| Street Address |
4555 N PERSHING AVE STE 7 |
| City | STOCKTON |
| State | CA |
| Zip Code | 95207-6740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689611063 | Livermore Medical Supply | Durable Medical Equipment & Medical Supplies | 4555 N Pershing Ave, Suite 24, Stockton, CA 95207-6740 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669004438 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 1002 Robinhood Drive, Stockton, CA 95207 | 2020-02-10 |
| 1811533110 | Tanya V Jones | Dental Hygienist | Community Medical Centers, 83 W. March Ln., Stockton, CA 95207 | 2019-11-21 |
| 1053966358 | Ingrid Marcela Saavedra | Behavioral Analyst | 1545 Saint Marks Plaza Ste 9, Stockton, CA 95207 | 2019-08-05 |
| 1497218861 | Turning Point Community Programs | Community/Behavioral Health | 1803 W March Ln Ste C-d, Stockton, CA 95207 | 2019-04-11 |
| 1427510627 | Stockton Sleep Center Inc | Physiological Laboratory | 1545 Saint Marks Plaza, Suite 2, Stockton, CA 95207 | 2019-04-05 |
| 1518436229 | Nicolas Anthony Overby | Occupational Therapist | Windsor Elmhaven Care Cente 6940 Pacific Ave, Stockton, CA 95207 | 2018-11-26 |
| 1912475724 | Ashley Johnson | Behavior Technician | 87 W. March Ln. Suite 6, Stockton, CA 95207 | 2018-11-09 |
| 1124596085 | Korie Cottrell | Behavior Technician | 87 W. March Ln., Suite 6, Stockton, CA 95207 | 2018-11-08 |
| 1760979645 | Maria Esther Rodriguez | Counselor | 2425 W March Ln., Stockton, CA 95207 | 2018-04-17 |
| 1902301161 | Lashray Elliott | Behavior Technician | 2291 W. Mach Lane, Ste C101, Stockton, CA 95207 | 2018-03-28 |
| Find all providers in zip 95207 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356951370 | Valley Scripts | Pharmacy | 1150 W Robinhood Dr Ste 2b, Stockton, CA 95207-5630 | 2020-08-04 |
| 1457913808 | Proveri Rx LLC | Pharmacy | 5713 N Pershing Ave # A3, Stockton, CA 95207-4942 | 2019-07-06 |
| 1205394673 | Bruce Enterprise LLC | Pharmacy | 123 S Commerce St Ste A, Stockton, CA 95202-2837 | 2019-03-05 |
| 1073983144 | Bjrx Pharmacy Ltc Inc | Pharmacy | 1801 E March Ln # 270, Stockton, CA 95210-6629 | 2015-10-01 |
| 1124127691 | Zumwalt Pharmacy Inc | Pharmacy | 19 Public Sq, Stockton, MO 65785-7617 | 2006-09-21 |
| 1396726634 | Roderick Pharmacy Group Inc | Pharmacy | 711 E Market St, Stockton, CA 95202-3104 | 2005-11-11 |
| 1699285973 | Bunnaun Uch | Pharmacy | 4555 N Pershing Ave Ste 7, Stockton, CA 95207-6739 | 2017-10-02 |
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|---|---|---|---|---|
| 1508465873 | Nskape Inc | Pharmacy | 6780 Indiana Ave Ste 145, Riverside, CA 92506-4270 | 2020-10-19 |
| 1770193641 | 986 Specialty Pharmacy Pasadena Inc | Pharmacy | 1719 E Walnut St, Pasadena, CA 91106-1611 | 2020-08-05 |
| 1518585587 | Asr Health Inc. | Pharmacy | 12677 Hesperia Rd Ste 180, Victorville, CA 92395-7754 | 2020-07-07 |
| 1619594660 | Burts Specialty Pharmacy | Pharmacy | 2628 Conejo Center Dr, Thousand Oaks, CA 91320-1407 | 2020-06-25 |
| 1972128676 | Maggie's Pharmacy Inc | Pharmacy | 2315 Kuehner Dr Ste 108, Simi Valley, CA 93063-3960 | 2020-06-09 |
| 1629604368 | Jafa Pharmaceuticals, Inc. | Pharmacy | 95 Montgomery Dr Ste 108, Santa Rosa, CA 95404-6617 | 2020-03-13 |
| 1669019113 | Shanzo Inc | Pharmacy | 6255 University Ave Ste A1, San Diego, CA 92115-5727 | 2019-12-03 |
| 1265077283 | Western Pharmacy Group LLC | Pharmacy | 610 Gateway Center Way Ste H-i, San Diego, CA 92102-4533 | 2019-11-13 |
| 1083255129 | Desert Best Pharmacy, Inc. | Pharmacy | 170 E Tahquitz Canyon Way, Palm Springs, CA 92262-6431 | 2019-09-30 |
| 1538718838 | Xpress Med Pharmacy Inc | Pharmacy | 16929 Bushard St, Fountain Valley, CA 92708-2819 | 2019-09-09 |
| Find all providers with the same taxonomy | ||||
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| 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.