Active NPI
Bum Jun Kim, PHARMACIST
- Compounded Sterile Preparations Pharmacist
- Arlington, VA
National Provider Identifier
1164364238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Compounded Sterile Preparations Pharmacist
- License
- 0202208308
- Practice address
- 1701 N George Mason Dr
Arlington, VA 22205-3698 - Phone
- (703) 558-6219
- NPI assigned
- Apr 8, 2026
- Last updated
- Apr 8, 2026
- 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 |
|---|---|---|---|---|
| Compounded Sterile Preparations Pharmacist | 1835C0207X | 0202208308 | VA | Primary |
Addresses
Primary practice location
1701 N George Mason Dr
Arlington, VA 22205-3698
Mailing address
2409 Clover Field Cir
Herndon, VA 20171-4312
Phone (703) 851-2007
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202208308 | VA | MD | Medical license number |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1775606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775606400000",
"number": "1164364238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2409 CLOVER FIELD CIR",
"city": "HERNDON",
"state": "VA",
"postal_code": "201714312",
"telephone_number": "703-851-2007",
"fax_number": "703-851-2007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 N GEORGE MASON DR",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222053698",
"telephone_number": "703-558-6219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "BUM JUN",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-04-08",
"last_updated": "2026-04-08",
"certification_date": "2026-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "1835C0207X",
"taxonomy_group": "",
"desc": "Pharmacist, Compounded Sterile Preparations",
"state": "VA",
"license": "0202208308",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.