SUNG JAE BACK DURHAM RPH
NPI 1124490933
Pharmacist in Menlo Park, CA

Active since October 21, 2015
871 SANTA CRUZ AVE, MENLO PARK, CA 94025(650) 618-6300(650) 618-6311 Get Directions Write a Review

NPPES record last updated: October 21, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sung Jae Back Durham Rph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUNG JAE BACK DURHAM RPH (NPI 1124490933) is an individual pharmacist in Menlo Park, California, licensed in California (73080) and active in the NPI registry since October 2015.

NPPES Registry Identity

NPI1124490933
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameSUNG JAE BACK DURHAMCredential: RPH
Location Address871 SANTA CRUZ AVEMenlo Park, CA 94025-4629
Mailing Address871 Santa Cruz AveMenlo Park, CA 94025-4629 · (650) 618-6300 · Fax (650) 618-6311
Fax(650) 618-6311
Sole ProprietorNo
Enumeration DateOctober 21, 2015
NPI 1124490933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in CA · 73080
Definition
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.
871 SANTA CRUZ AVE, Menlo Park, CA 94025

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
871 SANTA CRUZ AVE
MENLO PARK, CA 94025
Pharmacist
871 SANTA CRUZ AVE
MENLO PARK, CA 94025
Pharmacist
871 SANTA CRUZ AVE
MENLO PARK, CA 94025
Pharmacy (Community/Retail Pharmacy)
871 SANTA CRUZ AVE
MENLO PARK, CA 94025
Pharmacist
871 SANTA CRUZ AVE
MENLO PARK, CA 94025
Pharmacist
871 SANTA CRUZ AVE
MENLO PARK, CA 94025
Pharmacist
871 SANTA CRUZ AVE
MENLO PARK, CA 94025

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sung Jae Durham's NPI number?

The NPI number for Sung Jae Durham is 1124490933. It was assigned to this individual provider in the NPPES registry on October 21, 2015.

Where is Sung Jae Durham located?

Sung Jae Durham practices at 871 Santa Cruz Ave, Menlo Park, CA 94025. The listed phone number is (650) 618-6300.

What is Sung Jae Durham's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Sung Jae Durham was last updated on October 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.