Active NPI
Sandra Kim, PHARM.D.
- Pharmacist
- Carlsbad, CA
National Provider Identifier
1346520673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S018659
- Practice address
- 7740 Rancho Santa Fe Rd
Carlsbad, CA 92009-8685 - Phone
- (760) 753-5115
- NPI assigned
- Aug 18, 2011
- Reactivated
- Feb 11, 2020
- Last updated
- Mar 5, 2022
- Sex
- Female
- 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 | S018659 | AZ | Primary |
Addresses
Primary practice location
7740 Rancho Santa Fe Rd
Carlsbad, CA 92009-8685
Mailing address
7740 Rancho Santa Fe Rd
Carlsbad, CA 92009-8685
Phone (760) 753-5115
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 |
|---|---|---|---|
| S018659 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Interoperability endpoints
- skim220035@westdirect.optum.com
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": "1313625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646438400000",
"number": "1346520673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7740 RANCHO SANTA FE RD",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920098685",
"telephone_number": "760-753-5115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7740 RANCHO SANTA FE RD",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920098685",
"telephone_number": "760-753-5115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "SANDRA",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-18",
"last_updated": "2022-03-05",
"certification_date": "2022-02-11",
"deactivation_date": "2019-04-20",
"reactivation_date": "2020-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S018659",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carlsbad, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.