Active NPI
David Jay Hoon Kim, PHARM.D.
- Pharmacist
- Goodyear, AZ
National Provider Identifier
1306115134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S018746
- Practice address
- 1515 N Litchfield Rd
Goodyear, AZ 85395-1237 - Phone
- (623) 935-3233
- NPI assigned
- Dec 22, 2011
- 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 | S018746 | AZ | Primary |
Addresses
Primary practice location
1515 N Litchfield Rd
Goodyear, AZ 85395-1237
Mailing address
9680 W Northern Ave
Unit 1235
Peoria, AZ 85345-4639
Phone (720) 252-7773
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 |
|---|---|---|---|
| S018746 | AZ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324512000000",
"number": "1306115134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9680 W NORTHERN AVE",
"address_2": "UNIT 1235",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853454639",
"telephone_number": "720-252-7773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 N LITCHFIELD RD",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853951237",
"telephone_number": "623-935-3233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "DAVID",
"middle_name": "JAY HOON",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-12-22",
"last_updated": "2011-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S018746",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goodyear, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.