Mark Y Kim, RPH
Individual provider Active NPI Pharmacist · Alamo, TX
NPI 1003198458 · NPPES record last updated Sep 12, 2011
Key facts
- NPI
- 1003198458
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 47235 (TX)
- Practice address
- 510 N Alamo Rd
Alamo, TX 78516-2306 - Phone
- (956) 782-4779
- NPI assigned
- Sep 12, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past |
Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 47235 | TX | Yes |
Addresses
Primary practice location
510 N Alamo Rd
Alamo, TX 78516-2306
Mailing address
510 N Alamo Road
Alamo, TX 78516
Phone (956) 782-4779
Other providers in Alamo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.