Active NPI
Minkyong Kim
- Pharmacist
- Chino Hills, CA
National Provider Identifier
1215489802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH75169
- Practice address
- 14861 Maplewood Dr
Chino Hills, CA 91709-5184 - Phone
- (678) 704-9319
- NPI assigned
- Oct 28, 2016
- Sex
- Female
- 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 | RPH75169 | CA | Primary |
Addresses
Primary practice location
14861 Maplewood Dr
Chino Hills, CA 91709-5184
Mailing address
14861 Maplewood Dr
Chino Hills, CA 91709-5184
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 |
|---|---|---|---|
| RPH75169 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477612800000",
"number": "1215489802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14861 MAPLEWOOD DR",
"city": "CHINO HILLS",
"state": "CA",
"postal_code": "917095184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14861 MAPLEWOOD DR",
"city": "CHINO HILLS",
"state": "CA",
"postal_code": "917095184",
"telephone_number": "678-704-9319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "MINKYONG",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-28",
"last_updated": "2016-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH75169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chino Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.