Active NPI
Sarah Song Kim, PHARM D
- Pharmacist
- Kingsburg, CA
National Provider Identifier
1295019073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 65039
- Practice address
- 988 Sierra St
Kingsburg, CA 93631-1554 - Phone
- (559) 897-9733
- NPI assigned
- Sep 28, 2011
- 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 | 65039 | CA | Primary |
Addresses
Primary practice location
988 Sierra St
Kingsburg, CA 93631-1554
Mailing address
2285 E Spruce Ave
#103
Fresno, CA 93720-8019
Phone (224) 475-5769
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 |
|---|---|---|---|
| 65039 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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": "1317168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317168000000",
"number": "1295019073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2285 E SPRUCE AVE",
"address_2": "#103",
"city": "FRESNO",
"state": "CA",
"postal_code": "937208019",
"telephone_number": "224-475-5769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "988 SIERRA ST",
"city": "KINGSBURG",
"state": "CA",
"postal_code": "936311554",
"telephone_number": "559-897-9733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "SARAH",
"middle_name": "SONG",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-28",
"last_updated": "2011-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "65039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kingsburg, CA
- Morgan Inouye, OTR/L
- Devona Isais
- Brooke Lauren Jacobi
- Rex Jeffries
- Natalie Kennedy, PHARM.D.
- Kings River Union Elementary School District
- Kingsburg District Hospital (Kingsburg Medical Center)
- Kingsburg District Hospital (Kingsburg Medical Center)
- Kingsburg District Hospital (Kingsburg Medical Center)
- Kingsburg District Hospital (Kingsburg Medical Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.