Active NPI
Eunsug Kim
- Pharmacist
- Pleasanton, CA
National Provider Identifier
1093249948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 55310
- Practice address
- 532 Rosso CT
Pleasanton, CA 94566-6327 - Phone
- (408) 206-0269
- NPI assigned
- Apr 18, 2017
- 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 | 55310 | CA | Primary |
Addresses
Primary practice location
532 Rosso CT
Pleasanton, CA 94566-6327
Mailing address
532 Rosso CT
Pleasanton, CA 94566-6327
Phone (408) 206-0269
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492473600000",
"number": "1093249948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "532 ROSSO CT",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945666327",
"telephone_number": "408-206-0269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "532 ROSSO CT",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945666327",
"telephone_number": "408-206-0269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "EUNSUG",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-18",
"last_updated": "2017-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "55310",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pleasanton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.