Active NPI
Kristine Kim, PHARMD
- Pharmacist
- Falls Church, VA
National Provider Identifier
1316552136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202218033
- Practice address
- 6715A Arlington Blvd
Falls Church, VA 22042-2728 - Phone
- (703) 852-1312
- NPI assigned
- Sep 9, 2020
- Last updated
- Sep 9, 2020
- 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 | 0202218033 | VA | Primary |
Addresses
Primary practice location
6715A Arlington Blvd
Falls Church, VA 22042-2728
Mailing address
6715A Arlington Blvd
Falls Church, VA 22042-2728
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 |
|---|---|---|---|
| 0202218033 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
6715A Arlington Blvd
Falls Church, VA 22042
Phone (703) 852-1312
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": "1599609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599609600000",
"number": "1316552136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6715A ARLINGTON BLVD",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220422728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6715A ARLINGTON BLVD",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220422728",
"telephone_number": "703-852-1312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "KRISTINE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-09",
"last_updated": "2020-09-09",
"certification_date": "2020-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202218033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Falls Church, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.