Active NPI
Yoon C Kim, RPH
- Pharmacist
- Fresno, CA
National Provider Identifier
1154618320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 40672
- Practice address
- 10788 N Golden Eagle Dr
Fresno, CA 93730-3590 - Phone
- (559) 577-2054
- NPI assigned
- Jul 7, 2011
- Sex
- Male
- 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 | 40672 | CA | Primary |
Addresses
Primary practice location
10788 N Golden Eagle Dr
Fresno, CA 93730-3590
Mailing address
10788 N Golden Eagle Dr
Fresno, CA 93730-3590
Phone (559) 577-2054
Other names 1
- Brian Y Kim
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40672 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309996800000",
"number": "1154618320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10788 N GOLDEN EAGLE DR",
"city": "FRESNO",
"state": "CA",
"postal_code": "937303590",
"telephone_number": "559-577-2054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10788 N GOLDEN EAGLE DR",
"city": "FRESNO",
"state": "CA",
"postal_code": "937303590",
"telephone_number": "559-577-2054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "YOON",
"middle_name": "C",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-07-07",
"last_updated": "2011-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "40672",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRIAN",
"last_name": "KIM",
"middle_name": "Y",
"credential": "RPH",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.