Active NPI
Kimmie Hang
- Pharmacist
- La Habra, CA
National Provider Identifier
1003464504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 88747
- Practice address
- 777 S Harbor Blvd
La Habra, CA 90631 - Phone
- (800) 746-7287
- NPI assigned
- Aug 28, 2019
- Reactivated
- Nov 14, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pharmacist | 183500000X | 88747 | CA | Primary |
Addresses
Primary practice location
777 S Harbor Blvd
La Habra, CA 90631
Mailing address
19424 Soledad Canyon Rd
Canyon Country, CA 91351-2631
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 |
|---|---|---|---|
| 88747 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753747200000",
"number": "1003464504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19424 SOLEDAD CANYON RD",
"city": "CANYON COUNTRY",
"state": "CA",
"postal_code": "913512631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 S HARBOR BLVD",
"city": "LA HABRA",
"state": "CA",
"postal_code": "90631",
"telephone_number": "800-746-7287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANG",
"first_name": "KIMMIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-28",
"last_updated": "2025-07-29",
"certification_date": "2025-07-29",
"deactivation_date": "2023-10-20",
"reactivation_date": "2023-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "88747",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Habra, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.