Active NPI
Eun Sun Kim
- Pharmacist
- Flushing, NY
National Provider Identifier
1053633347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051780
- Practice address
- 14246 Roosevelt Ave
Flushing, NY 11354-6042 - Phone
- (718) 888-0808
- NPI assigned
- Feb 27, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051780 | NY | Primary |
Addresses
Primary practice location
14246 Roosevelt Ave
Flushing, NY 11354-6042
Mailing address
4334 172ND St
Flushing, NY 11358-3321
Phone (917) 692-4955
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051780 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ny Family Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Retail Pharmacy
- Flushing, NY
- NPI 1225181308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267488000000",
"number": "1053633347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4334 172ND ST",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113583321",
"telephone_number": "917-692-4955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14246 ROOSEVELT AVE",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113546042",
"telephone_number": "718-888-0808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "EUN SUN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-27",
"last_updated": "2010-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "051780",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.