Young Chul Kim

Primary specialty

PharmacistTaxonomy code 183500000X

License

031755 Issued in NY

Practice address

4250 Jerusalem Ave
Massapequa, NY 11758-3315

Phone

(516) 798-7802

Fax

(516) 798-3166

NPI assigned

Dec 24, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1198454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198454400000",
    "number": "1043494206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 JERUSALEM AVE",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117580000",
            "telephone_number": "516-798-7802",
            "fax_number": "516-798-3166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 JERUSALEM AVE",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117583315",
            "telephone_number": "516-798-7802",
            "fax_number": "516-798-3166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "YOUNG CHUL",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-24",
        "last_updated": "2007-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "031755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi L Kiernan, L.AC.
• Stephanie Doughty Kilgannon
• Barbara Ann Kilgus, LCSW-R
• James J Kim
• Jiyon Jennifer Kim, P.A.-C., MPAS
• Kenisha Tedra King
• Patricia Kinneary, NP
• Anthony Michael Kiriakos, OTR/L
• Stefanie Kitsos
• Amanda Klein

• Pharmacist in Massapequa, NY
• Providers in Massapequa, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2007; 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.