Sung Yeon Kim, PHARMD
Individual provider Active NPI Pharmacist · Corcoran, CA
NPI 1093670903 · NPPES record last updated Dec 23, 2025
Key facts
- NPI
- 1093670903
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 90924 (CA)
- Practice address
- 4001 King Ave
Corcoran, CA 93212-9611 - Phone
- (559) 992-8800
- NPI assigned
- Dec 23, 2025
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 90924 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corrections and Rehabilitation-Headquarters | Current |
Accepting new patients | |
| CSP-Corcoran | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 90924 | CA | Yes |
Addresses
Primary practice location
4001 King Ave
Corcoran, CA 93212-9611
Mailing address
2446 S Linwood St
Visalia, CA 93277-5758
Other providers in Corcoran, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.