Active NPI
Gene S Kim, PHARM.D.
- Pharmacist
- Northridge, CA
National Provider Identifier
1265269054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 43406
- Practice address
- 8530 Reseda Blvd
Northridge, CA 91324-4628 - Phone
- (818) 341-7104
- NPI assigned
- Sep 17, 2024
- Last updated
- Sep 17, 2024
- 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 | 43406 | CA | Primary |
Addresses
Primary practice location
8530 Reseda Blvd
Northridge, CA 91324-4628
Mailing address
4541 Alcorn Dr
La Canada, CA 91011-1930
Phone (818) 497-7442
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garfield Beach CVS LLC | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726531200000",
"number": "1265269054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4541 ALCORN DR",
"city": "LA CANADA",
"state": "CA",
"postal_code": "910111930",
"telephone_number": "818-497-7442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8530 RESEDA BLVD",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913244628",
"telephone_number": "818-341-7104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "GENE",
"middle_name": "S",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-09-17",
"last_updated": "2024-09-17",
"certification_date": "2024-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "43406",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northridge, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.