JAE BUM CHANG
NPI 1366719288
Pharmacist in Modesto, CA

Active since November 21, 2011
1101 MCHENRY AVE., MODESTO, CA 95350(209) 577-8695 Get Directions Write a Review

NPPES record last updated: November 21, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jae Bum Chang NPPES

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

JAE BUM CHANG (NPI 1366719288) is an individual pharmacist in Modesto, California, licensed in California (44601) and active in the NPI registry since November 2011.

NPPES Registry Identity

NPI1366719288
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameJAE BUM CHANG
Location Address1101 MCHENRY AVE.Modesto, CA 95350
Mailing Address1101 Mchenry AveModesto, CA 95350 · (209) 577-8695
Sole ProprietorNo
Enumeration DateNovember 21, 2011
NPI 1366719288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in CA · 44601
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.
1101 MCHENRY AVE., Modesto, CA 95350

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 Jae Bum Chang's NPI number?

The NPI number for Jae Bum Chang is 1366719288. It was assigned to this individual provider in the NPPES registry on November 21, 2011.

Where is Jae Bum Chang located?

Jae Bum Chang practices at 1101 Mchenry Ave., Modesto, CA 95350. The listed phone number is (209) 577-8695.

What is Jae Bum Chang'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 Jae Bum Chang was last updated on November 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.