Active NPI
Kwang Ja Kim
- Pharmacist
- Bellflower, CA
National Provider Identifier
1003018524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH 30573
- Practice address
- 16827 Bellflower Blvd Ste 101
Bellflower, CA 90706-5901 - Phone
- (562) 402-3636
- Fax
- (562) 402-3676
- NPI assigned
- Jun 5, 2007
- Last updated
- Jun 2, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH 30573 | CA | Primary |
Addresses
Primary practice location
16827 Bellflower Blvd Ste 101
Bellflower, CA 90706-5901
Mailing address
16827 Bellflower Blvd Ste 101
Bellflower, CA 90706-5901
Phone (562) 402-3636
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH 30573 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Koam Pharmacy Inc | Current | Accepting new patients |
Locations
18102 Pioneer Blvd
Ste 101
Artesia, CA 90701
Phone (562) 402-3636
16827 Bellflower Blvd
Ste 101
Bellflower, CA 90706
Phone (562) 402-3636
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780358400000",
"number": "1003018524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16827 BELLFLOWER BLVD STE 101",
"city": "BELLFLOWER",
"state": "CA",
"postal_code": "907065901",
"telephone_number": "562-402-3636",
"fax_number": "562-402-3676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16827 BELLFLOWER BLVD STE 101",
"city": "BELLFLOWER",
"state": "CA",
"postal_code": "907065901",
"telephone_number": "562-402-3636",
"fax_number": "562-402-3676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "KWANG JA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-05",
"last_updated": "2026-06-02",
"certification_date": "2026-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH 30573",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellflower, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.