Active NPI
Boramy Kim, PHARMD
- Pharmacist
- San Antonio, TX
National Provider Identifier
1184273567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 60255
- Practice address
- 16503 Nacogdoches Rd
San Antonio, TX 78247-1010 - Phone
- (210) 650-0647
- NPI assigned
- Sep 9, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 60255 | TX | Primary |
Addresses
Primary practice location
16503 Nacogdoches Rd
San Antonio, TX 78247-1010
Mailing address
16503 Nacogdoches Rd
San Antonio, TX 78247-1010
Phone (210) 650-0647
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 |
|---|---|---|---|
| 60255 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673654400000",
"number": "1184273567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16503 NACOGDOCHES RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782471010",
"telephone_number": "210-650-0647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16503 NACOGDOCHES RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782471010",
"telephone_number": "210-650-0647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "BORAMY",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-09",
"last_updated": "2023-01-14",
"certification_date": "2023-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "60255",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.