Active NPI
Minah Kim, PHARM. D.
- Pharmacist
- Pasadena, CA
National Provider Identifier
1073744264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH 56164
- Practice address
- 55 E California Blvd
Suite 103
Pasadena, CA 91105-3954 - Phone
- (626) 795-5956
- Fax
- (626) 795-4998
- NPI assigned
- Aug 5, 2009
- 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 | RPH 56164 | CA | Primary |
Addresses
Primary practice location
55 E California Blvd
Suite 103
Pasadena, CA 91105-3954
Mailing address
55 E California Blvd
Suite 103
Pasadena, CA 91105-3954
Phone (626) 795-5956
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
| License | State | Type | Specialty |
|---|---|---|---|
| RPH 56164 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Merced Medical Pharmacy | Current | Accepting new patients | |
| Minah Kim | Current | Accepting new patients |
Locations
55 E California Blvd
Ste 103
Pasadena, CA 91105
Phone (626) 795-5956
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
- West Covina, CA
- NPI 1568647758
-
- Community/Retail Pharmacy
- Pasadena, CA
- NPI 1649293697
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249430400000",
"number": "1073744264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 E CALIFORNIA BLVD",
"address_2": "SUITE 103",
"city": "PASADENA",
"state": "CA",
"postal_code": "911053954",
"telephone_number": "626-795-5956",
"fax_number": "626-795-4998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 E CALIFORNIA BLVD",
"address_2": "SUITE 103",
"city": "PASADENA",
"state": "CA",
"postal_code": "911053954",
"telephone_number": "626-795-5956",
"fax_number": "626-795-4998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "MINAH",
"name_prefix": "Dr.",
"credential": "PHARM. D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-05",
"last_updated": "2009-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH 56164",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.