Active NPI
Nicholas Kim
- Pharmacist
- Northbrook, IL
National Provider Identifier
1376155689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051301609
- Practice address
- 3375 Milwaukee Ave Unit GH
Northbrook, IL 60062-7104 - Phone
- (773) 510-7198
- NPI assigned
- Aug 18, 2020
- Sex
- Male
- 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 | 051301609 | IL | Primary |
Addresses
Primary practice location
3375 Milwaukee Ave Unit GH
Northbrook, IL 60062-7104
Mailing address
10570 Wing Pointe Dr
Huntley, IL 60142-6603
Phone (773) 510-7198
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 |
|---|---|---|---|
| 051301609 | IL | MD | Pharmacist |
Organizations & group practices 1
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": "1597708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746748800000",
"number": "1376155689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10570 WING POINTE DR",
"city": "HUNTLEY",
"state": "IL",
"postal_code": "601426603",
"telephone_number": "773-510-7198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3375 MILWAUKEE AVE UNIT GH",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600627104",
"telephone_number": "773-510-7198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "NICHOLAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-18",
"last_updated": "2025-05-09",
"certification_date": "2025-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051301609",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.