Active NPI
Ji Hye Kim
- Pharmacist
- Raymond, NH
National Provider Identifier
1417546185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PHCY-01125
- Practice address
- 53 Route 27
Raymond, NH 03077-1224 - Phone
- (603) 895-9842
- NPI assigned
- Jan 15, 2021
- Last updated
- Jan 15, 2021
- 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 | PHCY-01125 | NH | Primary |
Addresses
Primary practice location
53 Route 27
Raymond, NH 03077-1224
Mailing address
53 Route 27
Raymond, NH 03077-1224
Phone (603) 895-9842
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 |
|---|---|---|---|
| PHCY-01125 | NH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
53 Route 27
Raymond, NH 03077
Phone (603) 895-9842
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": "1610668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610668800000",
"number": "1417546185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 ROUTE 27",
"city": "RAYMOND",
"state": "NH",
"postal_code": "030771224",
"telephone_number": "603-895-9842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53 ROUTE 27",
"city": "RAYMOND",
"state": "NH",
"postal_code": "030771224",
"telephone_number": "603-895-9842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "JI",
"middle_name": "HYE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-15",
"last_updated": "2021-01-15",
"certification_date": "2021-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NH",
"license": "PHCY-01125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raymond, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.