Active NPI
Alfunzo Kim, PHARM D.
- Pharmacist
- Northbrook, IL
National Provider Identifier
1194324566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051300872
- Practice address
- 2323 Capital Dr
Northbrook, IL 60062-6144 - Phone
- (847) 513-0077
- NPI assigned
- Oct 18, 2020
- Last updated
- Oct 18, 2020
- 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 | 051300872 | IL | Primary |
Addresses
Primary practice location
2323 Capital Dr
Northbrook, IL 60062-6144
Mailing address
1826 Azalea LN
Mount Prospect, IL 60056-1808
Phone (224) 848-1575
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | EPRN | Direct |
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 |
|---|---|---|---|
| 051300872 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roundys Supermarkets Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Pick 'N Save Pharmacy #53400379
- Community/Retail Pharmacy
- Marshfield, WI
- NPI 1013484997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602979200000",
"number": "1194324566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1826 AZALEA LN",
"city": "MOUNT PROSPECT",
"state": "IL",
"postal_code": "600561808",
"telephone_number": "224-848-1575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2323 CAPITAL DR",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600626144",
"telephone_number": "847-513-0077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "ALFUNZO",
"credential": "PHARM D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-10-18",
"last_updated": "2020-10-18",
"certification_date": "2020-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051300872",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "EPRN",
"affiliation": "N",
"endpointDescription": "pharmacy retail network",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2323 Capital Dr",
"city": "Northbrook",
"state": "IL",
"country_code": "US",
"postal_code": "600626144",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Northbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.