Active NPI
Katherine Kim
- Pharmacist
- District Heights, MD
National Provider Identifier
1316340359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 22683
- Practice address
- 3101 Donnell Dr
District Heights, MD 20747-3204 - Phone
- (847) 852-6714
- NPI assigned
- Oct 5, 2014
- 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 | 22683 | MD | Primary |
Addresses
Primary practice location
3101 Donnell Dr
District Heights, MD 20747-3204
Mailing address
237 Rodgers Forge Rd Apt C
Baltimore, MD 21212-1340
Phone (847) 852-6714
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22683 | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412467200000",
"number": "1316340359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "237 RODGERS FORGE RD APT C",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212121340",
"telephone_number": "847-852-6714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3101 DONNELL DR",
"city": "DISTRICT HEIGHTS",
"state": "MD",
"postal_code": "207473204",
"telephone_number": "847-852-6714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "KATHERINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-05",
"last_updated": "2014-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "22683",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in District Heights, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.