Keri Kathleen Hurley-Kim, PHARMD, MPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

69396 Issued in CA

Practice address

802 W Peltason Dr
Irvine, CA 92697-4625

Phone

(760) 914-1011

NPI assigned

Sep 4, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Keri Kathleen Hurley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

Practice roles

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.

• JCH Pharmacy la, Inc.

  • Community/Retail Pharmacy
  • Los Angeles, CA
  • NPI 1528055407
  NPD (past)

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

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1396170759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 W PELTASON DR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926974625",
            "telephone_number": "760-914-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 W PELTASON DR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926974625",
            "telephone_number": "760-914-1011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8405 Beverly Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900483401",
            "country_code": "US",
            "telephone_number": "323-653-1990",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5205 Melrose Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900383144",
            "country_code": "US",
            "telephone_number": "323-653-1990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HURLEY-KIM",
        "first_name": "KERI",
        "middle_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "credential": "PHARMD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-04",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "CA",
            "license": "10874",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "69396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA BOARD OF PHARMACY",
            "identifier": "69396",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA MEDI-CAL PAVE",
            "identifier": "100351983",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERI",
            "last_name": "HURLEY",
            "middle_name": "KATHLEEN",
            "credential": "PHARMD, MPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Grace Nargis Hunter, DO
• James Glenn Hunter, P.T.
• Tansin Huq
• Diamond Hurd
• Ryan Christopher Hurd, M.D.
• Hailie Jayne Hurtado
• Princess Jane Hurtado
• David Tyler Husband
• Lianna Lauterio Huseman, LMFT
• Donna Jean Huson, PH.D.

• Pharmacist in Irvine, CA
• Providers in Irvine, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.