Tae Young Kim

Primary specialty

PharmacistTaxonomy code 183500000X

License

246726 Issued in AK

Practice address

21925 Belshire Ave Apt 1
Hawaiian Gardens, CA 90716-2461

Phone

(213) 598-5623

NPI assigned

Mar 16, 2026

Last updated

Mar 16, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Taeyoung Kim Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1773619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1023965241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21925 BELSHIRE AVE APT 1",
            "city": "HAWAIIAN GARDENS",
            "state": "CA",
            "postal_code": "907162461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21925 BELSHIRE AVE APT 1",
            "city": "HAWAIIAN GARDENS",
            "state": "CA",
            "postal_code": "907162461",
            "telephone_number": "213-598-5623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "TAE YOUNG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-03-16",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AK",
            "license": "246726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAEYOUNG",
            "last_name": "KIM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Pharmacist in Hawaiian Gardens, CA
• Providers in Hawaiian Gardens, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.