Kims Modern Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

KIMS MODERN PHARMACY INC

Doing business as

Modern Pharmacy

Practice address

3432 W Lawrence Ave
Chicago, IL 60625-5117

Phone

(773) 588-6055

Fax

(773) 588-5005

NPI assigned

Aug 31, 2006

Last updated

Nov 24, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Namil Kim

Title

Manager

Phone

(773) 588-6055

Specialties & licenses 2

Addresses

Other names 1

• Modern Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227484800000",
    "number": "1285746123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3432 W LAWRENCE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606255117",
            "telephone_number": "773-588-6055",
            "fax_number": "773-588-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3432 W LAWRENCE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606255117",
            "telephone_number": "773-588-6055",
            "fax_number": "773-588-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMS MODERN PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-11-24",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "NAMIL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "773-588-6055",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IL",
            "license": "054006861",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Modern Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Danielle Nicole Kimmet, PA-C
• Lucas M Kimmig
• Norma Christine Kimmig, MD
• Clare Delaney Kimmis, MA
• Isabella Kimrey, LPC
• Shannon Kimsey, FPA, APRN
• Elizabeth Ann Kimura, MA, LPC, NCC, MT-BC
• Robert Kimura, M.D.
• Kin Therapy Collective PLLC
• Karen Kinahan

• Community/Retail Pharmacy in Chicago, IL
• Providers in Chicago, IL by specialty
• Community/Retail Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2008; 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.