Haeran Kim, PHARAMCIST

Primary specialty

PharmacistTaxonomy code 183500000X

License

39524 Issued in CA

Practice address

300 N Canon Dr
Beverly Hills, CA 90210-4705

Phone

(310) 273-3561

Fax

(310) 273-6725

NPI assigned

Aug 28, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Haeran Ji Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Thrifty Payless Inc

  dba Rite Aid Pharmacy 05462

  • Community/Retail Pharmacy
  • Beverly Hills, CA
  • NPI 1225044514
  NPD (past)
• Thrifty Payless Inc

  dba Rite Aid Pharmacy 06833

  • Community/Retail Pharmacy
  • Winchester, CA
  • NPI 1437874062
  NPD (past)

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

{
    "created_epoch": "1282953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282953600000",
    "number": "1053627901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N CANON DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104705",
            "telephone_number": "310-273-3561",
            "fax_number": "310-273-6725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N CANON DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104705",
            "telephone_number": "310-273-3561",
            "fax_number": "310-273-6725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "HAERAN",
        "name_prefix": "Mrs.",
        "credential": "PHARAMCIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-28",
        "last_updated": "2010-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "39524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HAERAN",
            "last_name": "JI",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dae Kwon Kim, L.AC.
• David Edwin Kim, MD
• Dong U. Kim, MD
• Elizabeth Miyoung Kim, MD
• Eun Kyong Kim, RPH
• Hanna Kim
• Howard Hyukjin Kim, MD
• Janice Kim, NP
• K Alex Kim, MD
• Koen Woo Kim, LAC, DIPL.O.M

• Pharmacist in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2010; 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.