Active NPI
Kathleen Kim
- Pharmacist
- Irvine, CA
National Provider Identifier
1063883643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 55277
- Practice address
- 2120 Scholarship
Irvine, CA 92612-5662 - Phone
- (619) 993-8738
- NPI assigned
- Oct 8, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 55277 | CA | Primary |
| Pharmacist | 183500000X | 051291509 | IL | |
| Pharmacist | 183500000X | RPH.03226146-2 | OH |
Addresses
Primary practice location
2120 Scholarship
Irvine, CA 92612-5662
Mailing address
2120 Scholarship
Irvine, CA 92612-5662
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 |
|---|---|---|---|
| 55277 | CA | MD | Pharmacist |
| 051291509 | IL | MD | Pharmacist |
| RPH.03226146-2 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444262400000",
"number": "1063883643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2120 SCHOLARSHIP",
"city": "IRVINE",
"state": "CA",
"postal_code": "926125662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2120 SCHOLARSHIP",
"city": "IRVINE",
"state": "CA",
"postal_code": "926125662",
"telephone_number": "619-993-8738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "KATHLEEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-08",
"last_updated": "2015-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "55277",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051291509",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "RPH.03226146-2",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.