Active NPI
Hyejung Kim, RPH
- Pharmacist
- Boston, MA
National Provider Identifier
1013729821
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH997042
- Practice address
- 1153 Centre St
Boston, MA 02130-3446 - Phone
- (851) 404-5397
- NPI assigned
- Jan 21, 2025
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0330135161 | VT | |
| Pharmacist | 183500000X | PH997042 | MA | Primary |
Addresses
Primary practice location
1153 Centre St
Boston, MA 02130-3446
Mailing address
400 Brookline Ave Apt 15C
Boston, MA 02215-5406
Other practice location 1
2014 Washington St
Newton, MA 02462-1607
Phone (617) 243-6000
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH997042 | MA | MD | Pharmacist |
| 0330135161 | VT | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737417600000",
"number": "1013729821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 BROOKLINE AVE APT 15C",
"city": "BOSTON",
"state": "MA",
"postal_code": "022155406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1153 CENTRE ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021303446",
"telephone_number": "851-404-5397"
}
],
"practiceLocations": [
{
"address_1": "2014 Washington St",
"address_purpose": "LOCATION",
"city": "Newton",
"state": "MA",
"postal_code": "024621607",
"country_code": "US",
"telephone_number": "617-243-6000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "HYEJUNG",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-21",
"last_updated": "2025-01-21",
"certification_date": "2025-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VT",
"license": "0330135161",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH997042",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.