Active NPI
Jungsoo F Kim, PHARMD
- Oncology Pharmacist
- Sacramento, CA
National Provider Identifier
1023046455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oncology Pharmacist
- License
- APH11113
- Practice address
- 2825 Capitol Avenue
Suite 3N108
Sacramento, CA 95816-6039 - Phone
- (916) 887-4680
- Fax
- (916) 739-3208
- NPI assigned
- Jun 28, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26190 | MA | |
| Oncology Pharmacist | 1835X0200X | 59558 | CA | |
| Oncology Pharmacist | 1835X0200X | APH11113 | CA | Primary |
Addresses
Primary practice location
2825 Capitol Avenue
Suite 3N108
Sacramento, CA 95816-6039
Mailing address
2825 Capitol Avenue
Suite 3N108
Sacramento, CA 95816-6039
Phone (916) 887-4680
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 |
|---|---|---|---|
| 26190 | MA | MD | Pharmacist |
| 59558 | CA | MD | Oncology Pharmacist |
| APH11113 | CA | MD | Oncology Pharmacist |
Interoperability endpoints
- jkim538409@hisp.ehr.sutterhealth.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698710400000",
"number": "1023046455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2825 CAPITOL AVENUE",
"address_2": "SUITE 3N108",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958166039",
"telephone_number": "916-887-4680",
"fax_number": "916-739-3208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2825 CAPITOL AVENUE",
"address_2": "SUITE 3N108",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958166039",
"telephone_number": "916-887-4680",
"fax_number": "916-739-3208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "JUNGSOO",
"middle_name": "F",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-28",
"last_updated": "2023-10-31",
"certification_date": "2023-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "26190",
"primary": false
},
{
"code": "1835X0200X",
"taxonomy_group": "",
"desc": "Pharmacist, Oncology",
"state": "CA",
"license": "59558",
"primary": false
},
{
"code": "1835X0200X",
"taxonomy_group": "",
"desc": "Pharmacist, Oncology",
"state": "CA",
"license": "APH11113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.