Active NPI
Hannah Kim
- Pharmacist
- Gloucester City, NJ
National Provider Identifier
1003412453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI03642600
- Practice address
- 455 S Broadway
Gloucester City, NJ 08030-2319 - Phone
- (856) 456-8500
- NPI assigned
- Dec 10, 2020
- Last updated
- Dec 10, 2020
- Sex
- Female
- Sole proprietor
- No
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 | 28RI03642600 | NJ | Primary |
Addresses
Primary practice location
455 S Broadway
Gloucester City, NJ 08030-2319
Mailing address
1049 Swallow Dr
Cherry Hill, NJ 08003-2849
Phone (215) 868-4925
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 |
|---|---|---|---|
| 28RI03642600 | NJ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607558400000",
"number": "1003412453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1049 SWALLOW DR",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080032849",
"telephone_number": "215-868-4925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 S BROADWAY",
"city": "GLOUCESTER CITY",
"state": "NJ",
"postal_code": "080302319",
"telephone_number": "856-456-8500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "HANNAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-10",
"last_updated": "2020-12-10",
"certification_date": "2020-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03642600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gloucester City, NJ
- Kristina M Greco, LCSW
- Healthy Smiles of Gloucester City
- Andrew Edward Herman, DC
- Daniel J Hyman, DO
- Alden Kyu Kim, DMD
- Karen Jane Kirby, LCSW,LCADC
- Steven Klein, DO MPH
- Mast Ventures, Inc (MAST VENTURES, INC dba Always Best Care)
- Mediline Corporation (Gloucester City Pharmacy and Discount Store)
- Stuart Merrian, D.M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.