Active NPI
Hyo Kyung Kim
- Pharmacist
- Edmonds, WA
National Provider Identifier
1053767293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60038629
- Practice address
- 22618 Hwy 99 Ste 109
Edmonds, WA 98026 - Phone
- (425) 673-8533
- Fax
- (425) 673-5010
- NPI assigned
- May 6, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | PH60038629 | WA | Primary |
Addresses
Primary practice location
22618 Hwy 99 Ste 109
Edmonds, WA 98026
Mailing address
22618 Highway 99 Ste 109
Edmonds, WA 98026-8395
Phone (425) 577-9913
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 |
|---|---|---|---|
| PH60038629 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Highland Health Care 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
- Edmonds, WA
- NPI 1669483160
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462492800000",
"number": "1053767293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22618 HIGHWAY 99 STE 109",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980268395",
"telephone_number": "425-577-9913",
"fax_number": "425-577-5010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22618 HWY 99 STE 109",
"city": "EDMONDS",
"state": "WA",
"postal_code": "98026",
"telephone_number": "425-673-8533",
"fax_number": "425-673-5010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "HYO KYUNG",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-06",
"last_updated": "2016-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60038629",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edmonds, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.