Active NPI
Karen Kim, BS PHARM
- Pharmacist
- Elmhurst, NY
National Provider Identifier
1053638957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 045994
- Practice address
- 8004 Baxter Ave
Elmhurst, NY 11373-1313 - Phone
- (718) 457-0099
- NPI assigned
- May 1, 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 | 045994 | NY | Primary |
Addresses
Primary practice location
8004 Baxter Ave
Elmhurst, NY 11373-1313
Mailing address
8004 Baxter Ave
Elmhurst, NY 11373-1313
Phone (718) 457-0099
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
- Bachelor of Science, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 045994 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ayush LLC | Pharmacist | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272672000000",
"number": "1053638957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8004 BAXTER AVE",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113731313",
"telephone_number": "718-457-0099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8004 BAXTER AVE",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113731313",
"telephone_number": "718-457-0099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "KAREN",
"name_prefix": "Mrs.",
"credential": "BS PHARM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-01",
"last_updated": "2010-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "045994",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elmhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.