Individual provider Active NPI

Ranhyok Im, PHARMD

  • Pharmacist
  • Haltom City, TX
National Provider Identifier
1063795151
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
49743 Issued in TX
Practice address
4045 E Belknap St Ste 10
Haltom City, TX 76111-6637
Phone
(682) 707-9400
NPI assigned
Sep 24, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 49743 TX Primary

Addresses

Primary practice location

4045 E Belknap St Ste 10
Haltom City, TX 76111-6637

Mailing address

941 Keeler St
Lantana, TX 76226-6609
Phone (972) 646-0896

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
49743TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Bestrx Pharmacy Inc CurrentSince Dec 13, 2022 Accepting new patients
Walgreen Co Past Accepting new patients
Walgreen Co Past Accepting new patients

Locations

4045 E Belknap St
Ste 10
Haltom City, TX 76111
Phone (682) 707-9400

Organizations & group practices 3

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": "1316822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1063795151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 KEELER ST",
            "city": "LANTANA",
            "state": "TX",
            "postal_code": "762266609",
            "telephone_number": "972-646-0896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 E BELKNAP ST STE 10",
            "city": "HALTOM CITY",
            "state": "TX",
            "postal_code": "761116637",
            "telephone_number": "682-707-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IM",
        "first_name": "RANHYOK",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-24",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "49743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haltom City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.