Lois Daheun Kim

Primary specialty

PharmacistTaxonomy code 183500000X

License

14098411-1701 Issued in UT

Practice address

7227 S State St
Midvale, UT 84047-2061

Phone

(801) 307-0494

NPI assigned

Sep 13, 2024

Sex

Female

Sole proprietor

No

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

Practice roles

Locations

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.

• Walgreen Co

  • Pharmacy
  • Midvale, UT
  • NPI 1114932159
  NPD
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1726185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1053147116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7227 S STATE ST",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840472061",
            "telephone_number": "801-307-0494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7227 S STATE ST",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840472061",
            "telephone_number": "801-307-0494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "LOIS",
        "middle_name": "DAHEUN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-13",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "14098411-1701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Ann Kettle, LCSW
• Keystone Chiropractic & Wellness, PLLC
• William Starkey Kidder, DDS
• Michael Kiley, PHARMD
• Lorraine S Kilpatrick, LCSW
• Sangae Kim, CA
• Sara Tempest Kimball, CSW
• Kinetic Health PLLC
• Constance King, PHYSICIAN ASSISTANT
• Leah Kirschbaum, RD

• Pharmacist in Midvale, UT
• Providers in Midvale, UT by specialty
• Pharmacist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; 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.