Active NPI
Hannah Park Kim, PHARMD
- Pharmacist
- Stoughton, MA
National Provider Identifier
1003361940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH236877
- Practice address
- 100 Technology Dr
Suite 600
Stoughton, MA 02072 - Phone
- (516) 402-7819
- Fax
- (617) 288-5242
- NPI assigned
- Aug 21, 2016
- 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 | PH236877 | MA | Primary |
Addresses
Primary practice location
100 Technology Dr
Suite 600
Stoughton, MA 02072
Mailing address
100 Technology Dr
600
Stoughton, MA 02072
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH236877 | MA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695340800000",
"number": "1003361940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 TECHNOLOGY DR",
"address_2": "600",
"city": "STOUGHTON",
"state": "MA",
"postal_code": "02072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 TECHNOLOGY DR",
"address_2": "SUITE 600",
"city": "STOUGHTON",
"state": "MA",
"postal_code": "02072",
"telephone_number": "516-402-7819",
"fax_number": "617-288-5242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "HANNAH",
"middle_name": "PARK",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-21",
"last_updated": "2023-09-22",
"certification_date": "2023-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH236877",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stoughton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.