Active NPI
Eun-Jeong Kim, PHARMD
- Pharmacist
- Walnut Creek, CA
National Provider Identifier
1285794495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH 57609
- Practice address
- Oncology Pharmacy, Kaiser Permenante
1425 South Main Street
Walnut Creek, CA 94596 - Phone
- (925) 295-6301
- Fax
- (925) 295-6290
- NPI assigned
- Dec 11, 2006
- Sex
- Female
- Sole proprietor
- No
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 | RPH 57609 | CA | Primary |
Addresses
Primary practice location
Oncology Pharmacy, Kaiser Permenante
1425 South Main Street
Walnut Creek, CA 94596
Mailing address
Oncology Pharmacy, Kaiser Permenante
1425 South Main Street
Walnut Creek, CA 94596
Phone (925) 295-6301
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 |
|---|---|---|---|
| RPH 57609 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285794495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ONCOLOGY PHARMACY, KAISER PERMENANTE",
"address_2": "1425 SOUTH MAIN STREET",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "94596",
"telephone_number": "925-295-6301",
"fax_number": "925-295-6290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ONCOLOGY PHARMACY, KAISER PERMENANTE",
"address_2": "1425 SOUTH MAIN STREET",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "94596",
"telephone_number": "925-295-6301",
"fax_number": "925-295-6290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "EUN-JEONG",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH 57609",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.