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ANGKOR PHARMACY
NPI 1306939749
Pharmacy - Long Term Care Pharmacy in Stockton, CA

Active since September 30, 2006
4555 N PERSHING AVE, STE 7, STOCKTON, CA 95207(209) 888-2099(209) 888-2105 Get Directions Write a Review

NPPES record last updated: June 15, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 15, 2020, May 12, 2020, Dec 18, 2015 (3 updates tracked since 2015).

About Angkor Pharmacy NPPES

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

ANGKOR PHARMACY (NPI 1306939749) is a healthcare organization registered as a long term care pharmacy in Stockton, California and active in the NPI registry since September 2006. The organization lists Bunnaun Uch, Owner/pic, as its authorized official.

NPPES Registry Identity

NPI1306939749
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameBUNNAUN UCH
Location Address4555 N PERSHING AVE, STE 7Stockton, CA 95207-6740
Mailing Address4555 N Pershing Ave, Ste 7Stockton, CA 95207-6740 · (209) 473-4706 · Fax (209) 473-7377
Phone(209) 888-2099
Fax(209) 888-2105
Organization SubpartNo
Authorized OfficialBunnaun UchOwner/pic · (209) 888-2099
Enumeration DateSeptember 30, 2006
Last NPPES UpdateJune 15, 20203 updates tracked since enumeration
NPPES CertifiedJune 15, 2020
✔ NPI 1306939749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
4555 N PERSHING AVE, Stockton, CA 95207
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Other Names 1

Doing Business AsAngkor Pharmacy

Other Identifiers 2

Other2151610Pk
MedicaidPHA532620CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Other Providers at the Same Location NPPES

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

LIVERMORE MEDICAL SUPPLY
Durable Medical Equipment & Medical Supplies
4555 N PERSHING AVE, SUITE 24
STOCKTON, CA 95207
San Joaquin County (209) 475-0979

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 Bunnaun Uch's NPI number?

The NPI number for Bunnaun Uch is 1306939749. It was assigned to this organization in the NPPES registry on September 30, 2006. The provider is doing business as Angkor Pharmacy.

Where is Bunnaun Uch located?

Bunnaun Uch is located at 4555 N Pershing Ave Ste 7, Stockton, CA 95207. The listed phone number is (209) 888-2099.

What is Bunnaun Uch's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

What insurance does Bunnaun Uch accept?

Health plans from Medica list Bunnaun Uch as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bunnaun Uch was last updated on June 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.