Dasom Kim

Primary specialty

PharmacistTaxonomy code 183500000X

License

051.303639 Issued in IL

Practice address

481 Busse Hwy
Park Ridge, IL 60068-3252

Phone

(847) 696-3680

NPI assigned

Feb 24, 2021

Last updated

Feb 24, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• American Drug Stores LLC

  • Community/Retail Pharmacy
  • Diamond, IL
  • NPI 1013786706
  NPD (past)
• American Drug Stores LLC

  dba Osco Drug #3481

  • Community/Retail Pharmacy
  • Park Ridge, IL
  • NPI 1356397749
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1614124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1316531809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "481 BUSSE HWY",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600683252",
            "telephone_number": "847-696-3680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 BUSSE HWY",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600683252",
            "telephone_number": "847-696-3680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "DASOM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-24",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.303639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deana Lynn Khoshaba, PSY.D.
• Simur Khurana
• Nilofer Anwar Kidiwala, D.O.
• Kenneth Kikuchi, PSY.D.
• Mark E Kiley, DO
• Hyo-Jin Kim, M.D.
• Jay A Kim, RPH
• Lisa Sunhee Kim, M.D.
• Oliver S. Kim, M.D.
• Richard Kim, L.AC

• Pharmacist in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.