Active NPI
Eunjung Cynthia Kim-Kruer, PHARMD
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Baltimore, MD
National Provider Identifier
1316119878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 18239
- Practice address
- 3900 Loch Raven Blvd BLDG 2
Baltimore, MD 21218-2108 - Phone
- (667) 210-4812
- NPI assigned
- Mar 25, 2008
- 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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 18239 | MD | Primary |
Addresses
Primary practice location
3900 Loch Raven Blvd BLDG 2
Baltimore, MD 21218-2108
Mailing address
2630 Greene Rd
Baldwin, MD 21013-9117
Phone (443) 883-6266
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 |
|---|---|---|---|
| 18239 | MD | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689292800000",
"number": "1316119878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2630 GREENE RD",
"city": "BALDWIN",
"state": "MD",
"postal_code": "210139117",
"telephone_number": "443-883-6266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 LOCH RAVEN BLVD BLDG 2",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212182108",
"telephone_number": "667-210-4812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM-KRUER",
"first_name": "EUNJUNG",
"middle_name": "CYNTHIA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-25",
"last_updated": "2023-07-14",
"certification_date": "2023-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "MD",
"license": "18239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.