Individual provider Active NPI

Daniel D Kim, PHARM.D.

  • Pharmacist
  • Federal Way, WA
National Provider Identifier
1376846006
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH60163670 Issued in WA
Practice address
32129 Weyerhaeuser Way S
Federal Way, WA 98001-9801
Phone
(360) 933-4892
Fax
(360) 933-1197
NPI assigned
Dec 20, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH60163670 WA Primary

Addresses

Primary practice location

32129 Weyerhaeuser Way S
Federal Way, WA 98001-9801

Mailing address

14935 NE 87TH St Ste 101
Redmond, WA 98052-2046
Phone (258) 883-3525

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

LicenseStateTypeSpecialty
PH60163670WAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Safeway Inc PastSince Aug 1, 2020 Accepting new patients
Safeway Inc PastSince Aug 1, 2020 Accepting new patients
Safeway Inc Past Accepting new patients
Camp Riley Drug Co. Inc PastSince Oct 1, 2022 Accepting new patients
Washington CVS Pharmacy LLC PastSince Feb 1, 2024 Accepting new patients
Washington CVS Pharmacy LLC PastSince Feb 1, 2024 Accepting new patients

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1292803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1376846006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14935 NE 87TH ST STE 101",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980522046",
            "telephone_number": "258-883-3525",
            "fax_number": "425-883-1076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32129 WEYERHAEUSER WAY S",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980019801",
            "telephone_number": "360-933-4892",
            "fax_number": "360-933-1197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "DANIEL",
        "middle_name": "D",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-20",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60163670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.

Verify at the official NPI Registry.