So Jung Kim

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH61461853 Issued in WA

Practice address

9010 Market PL
Lake Stevens, WA 98258-4908

Phone

(425) 334-4028

NPI assigned

May 15, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697328000000",
    "number": "1003306077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10711 8TH AVE NE UNIT 519",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981256370",
            "telephone_number": "415-987-3624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9010 MARKET PL",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982584908",
            "telephone_number": "425-334-4028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "SO JUNG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-15",
        "last_updated": "2023-10-15",
        "certification_date": "2023-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH61461853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly M Kertz, LMT
• Vilma Agno Khounphixay, LMHC
• Amos Kihara
• Alexander Young Sik Kim
• Danah Kim, D.D.S.
• Harriet Moraa Kimori, ARNP
• Emily Kae King, LMHCA
• Keith D Klein, PT
• Michelle A Klein, PT
• Stephen Randolph Knoefler, L.M.P.

• Pharmacist in Lake Stevens, WA
• Providers in Lake Stevens, WA by specialty
• Pharmacist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.