Active NPI
Estelle Inhae Kim, PHARMD
- Pharmacist
- Bakersfield, CA
National Provider Identifier
1093212722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 77573
- Practice address
- 1100 Mondavi Way Apt E3
Bakersfield, CA 93312-4349 - Phone
- (818) 395-7060
- NPI assigned
- Apr 9, 2018
- Last updated
- Aug 28, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 77573 | CA | Primary |
Addresses
Primary practice location
1100 Mondavi Way Apt E3
Bakersfield, CA 93312-4349
Mailing address
3315 S H St
Bakersfield, CA 93304-6533
Phone (661) 396-0634
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 |
|---|---|---|---|
| 77573 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535414400000",
"number": "1093212722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3315 S H ST",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933046533",
"telephone_number": "661-396-0634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 MONDAVI WAY APT E3",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933124349",
"telephone_number": "818-395-7060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "ESTELLE",
"middle_name": "INHAE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-09",
"last_updated": "2018-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "77573",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.