Active NPI
Ji Young Kim, PHARMD
- Ambulatory Care Pharmacist
- Washington, DC
National Provider Identifier
1033729579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- PH100004043
- Practice address
- 700 2ND St NE
Washington, DC 20002-8100 - Phone
- (202) 346-3000
- NPI assigned
- Aug 7, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 27149 | MD | |
| Ambulatory Care Pharmacist | 1835P2201X | PH100004043 | DC | Primary |
Addresses
Primary practice location
700 2ND St NE
Washington, DC 20002-8100
Mailing address
700 2ND St NE
Washington, DC 20002-8100
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 |
|---|---|---|---|
| 27149 | MD | MD | Pharmacist |
| PH100004043 | DC | MD | Ambulatory Care Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maryland CVS Pharmacy, L.L.C. | Past | Accepting new patients | |
| Maryland CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Fallston, MD
- NPI 1386747046
-
- Pharmacy
- Gaithersburg, MD
- NPI 1669100285
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658620800000",
"number": "1033729579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 2ND ST NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200028100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 2ND ST NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200028100",
"telephone_number": "202-346-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "JI YOUNG",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-07",
"last_updated": "2022-07-24",
"certification_date": "2022-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "27149",
"primary": false
},
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "DC",
"license": "PH100004043",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.