Individual provider Active NPI

Sunna Sunhwa Kim, PHARM D.

  • Pharmacist
  • New York, NY
National Provider Identifier
1053637058
Registry record updated Apr 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051236 Issued in NY
Practice address
211 E 79TH St
Pharmacy 2ND Floor
New York, NY 10075-0819
Phone
(212) 879-1600
Fax
(212) 879-4594
NPI assigned
Apr 15, 2010
Last updated
Apr 15, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051236 NY Primary

Addresses

Primary practice location

211 E 79TH St
Pharmacy 2ND Floor
New York, NY 10075-0819

Mailing address

211 E 79TH St
Pharmacy 2ND Floor
New York, NY 10075-0819
Phone (212) 879-1600

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

LicenseStateTypeSpecialty
051236NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1271289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271289600000",
    "number": "1053637058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E 79TH ST",
            "address_2": "PHARMACY 2ND FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750819",
            "telephone_number": "212-879-1600",
            "fax_number": "212-879-4594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E 79TH ST",
            "address_2": "PHARMACY 2ND FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750819",
            "telephone_number": "212-879-1600",
            "fax_number": "212-879-4594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "SUNNA",
        "middle_name": "SUNHWA",
        "credential": "PHARM D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-15",
        "last_updated": "2010-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "051236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.