Active NPI
Heesun Kim, PHARM. D
- Pharmacist
- West Springfield, MA
National Provider Identifier
1184257354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PCT.0015126
- Practice address
- 119 Daggett Dr
West Springfield, MA 01089-4672 - Phone
- (413) 747-5518
- NPI assigned
- Feb 17, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PCT.0015126 | CT | Primary |
| Pharmacist | 183500000X | PH239427 | MA |
Addresses
Primary practice location
119 Daggett Dr
West Springfield, MA 01089-4672
Mailing address
119 Daggett Dr
West Springfield, MA 01089-4672
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 |
|---|---|---|---|
| PCT.0015126 | CT | MD | Pharmacist |
| PH239427 | MA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581897600000",
"number": "1184257354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 DAGGETT DR",
"city": "WEST SPRINGFIELD",
"state": "MA",
"postal_code": "010894672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 DAGGETT DR",
"city": "WEST SPRINGFIELD",
"state": "MA",
"postal_code": "010894672",
"telephone_number": "413-747-5518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "HEESUN",
"credential": "PHARM. D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-17",
"last_updated": "2020-02-17",
"certification_date": "2020-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "PCT.0015126",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH239427",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.