Active NPI
Sungha Kim
- Pharmacist
- Mason City, IA
National Provider Identifier
1053925065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 122984
- Practice address
- 1000 4TH St SW
Mason City, IA 50401-2800 - Phone
- (641) 428-7600
- NPI assigned
- Sep 7, 2020
- Sex
- Male
- 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 | 122984 | MN | Primary |
Addresses
Primary practice location
1000 4TH St SW
Mason City, IA 50401-2800
Mailing address
703 E Main St
Albert Lea, MN 56007-2937
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Josh.Kim@direct.2.mycarefile.org | Direct | MercyOne North Iowa |
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 |
|---|---|---|---|
| 122984 | MN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Interoperability endpoints
- josh.kim@direct.2.mycarefile.org
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.
-
- Pharmacy
- Albert Lea, MN
- NPI 1043402936
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640563200000",
"number": "1053925065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "703 E MAIN ST",
"city": "ALBERT LEA",
"state": "MN",
"postal_code": "560072937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 4TH ST SW",
"city": "MASON CITY",
"state": "IA",
"postal_code": "504012800",
"telephone_number": "641-428-7600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "SUNGHA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-07",
"last_updated": "2021-12-27",
"certification_date": "2021-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "122984",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Josh.Kim@direct.2.mycarefile.org",
"affiliation": "Y",
"endpointDescription": "MercyOne North Iowa Direct Email Address",
"affiliationName": "MercyOne North Iowa",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "1000 4th St SW",
"city": "Mason City",
"state": "IA",
"country_code": "US",
"postal_code": "504012800",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Mason City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.