Sung Jae Back Durham, RPH
Pharmacist in Menlo Park, CA. Individual provider (NPI-1).
NPI number1124490933
StatusActive
Last updated in NPPESOct 21, 2015
Details
- NPI
- 1124490933
- Entity type
- Individual (NPI-1)
- Name
- Sung Jae Back Durham
- Credential
- RPH
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 21, 2015
- Last updated
- Oct 21, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 73080 | CA | Yes |
Practice location
871 Santa Cruz AveMenlo Park, CA 94025-4629
Phone 650-618-6300 · Fax 650-618-6311
Mailing address
871 Santa Cruz AveMenlo Park, CA 94025-4629
Phone 650-618-6300 · Fax 650-618-6311
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Pharmacist providers in Menlo Park, CA
- Andenika Nicole Adams, PHARMDNPI 1467553685
- Fatemeh Parisa Amiri, PHARM.D.NPI 1881978674
- Maryam Arabpour Dahooei, RPHNPI 1073123246
- Jacqueline ArellanesNPI 1518787605
- Paige AvitabileNPI 1942676499
- Sandra Leigh Bardas, RPHNPI 1841745064
- John Celedon, PHARM.D.NPI 1689974586
- Lawrence Yapui Chan, PHARMDNPI 1316297229
- Taylor Nicole ChanNPI 1295484467
- Michael Cheung, PHARMDNPI 1326417668
All 46 Pharmacist providers in Menlo Park · All 1,497 providers in Menlo Park
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 100 free a day, then from $5 for 5,000. Useful for credentialing, billing and pharmacy claim checks.