Mee Kyoung Kim

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

RPH59611 Issued in CA

Practice address

3511 W Olympic Blvd Ste 102
Los Angeles, CA 90019-3563

Phone

(323) 731-0600

NPI assigned

Oct 18, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Wilton Pharmacy, Inc

  • Community/Retail Pharmacy
  • Los Angeles, CA
  • NPI 1679662357
  NPD Authorized official
• Wiltoh Pharmacy

  • Community/Retail Pharmacy
  • Los Angeles, CA
  • NPI 1770536252
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1205347150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3511 W OLYMPIC BLVD STE 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900193563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3511 W OLYMPIC BLVD STE 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900193563",
            "telephone_number": "323-731-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "MEE KYOUNG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-18",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "CA",
            "license": "RPH59611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Kim, M.A.
• Marie Kim
• Marie Kim, MD PHD
• Mary Elizabeth Kim
• Matthew Kim, DDS
• Melanie Kim
• Melanie Quynh-Tien Kim, PHARM. D.
• Mi Hye Kim, DDS
• Mi Kyong Kim
• Mi Kyung Kim

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.