Individual provider Active NPI

Ji Young Kim

  • Pharmacist
  • Chandler, AZ
National Provider Identifier
1053840173
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
S022428 Issued in AZ
Practice address
1940 W Chandler Blvd
Ste 3
Chandler, AZ 85224-6176
Phone
(480) 835-0970
NPI assigned
Jun 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH76630 CA
Pharmacist 183500000X S022428 AZ Primary

Addresses

Primary practice location

1940 W Chandler Blvd
Ste 3
Chandler, AZ 85224-6176

Mailing address

1940 W Chandler Blvd
Ste 3
Chandler, AZ 85224-6176
Phone (480) 835-0970

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
S022428AZMDPharmacist
RPH76630CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Hand in Hand Pharmacy LLC CurrentSince Dec 10, 2020 Accepting new patients
Hand in Hand Pharmacy LLC CurrentSince Feb 26, 2023 Accepting new patients

Locations

1940 W Chandler Blvd
Ste 3
Chandler, AZ 85224
Phone (480) 534-7537

Organizations & group practices 2

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": "1497225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1053840173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 W CHANDLER BLVD",
            "address_2": "STE 3",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246176",
            "telephone_number": "480-835-0970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 W CHANDLER BLVD",
            "address_2": "STE 3",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246176",
            "telephone_number": "480-835-0970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JI YOUNG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-12",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH76630",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S022428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; 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.