Active NPI
Ike I Kim, PHARM.D
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Aurora, CO
National Provider Identifier
1427382001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 12568
- Practice address
- 12605 E 16TH Ave
Mailstop F757
Aurora, CO 80045-2545 - Phone
- (720) 848-4898
- NPI assigned
- Sep 29, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 12568 | CO | Primary |
| Pharmacotherapy Pharmacist | 1835P1200X | 12568 | CO |
Addresses
Primary practice location
12605 E 16TH Ave
Mailstop F757
Aurora, CO 80045-2545
Mailing address
12605 E 16TH Ave
Mailstop F757
Aurora, CO 80045-2545
Phone (720) 848-4898
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 |
|---|---|---|---|
| 12568 | CO | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254182400000",
"number": "1427382001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12605 E 16TH AVE",
"address_2": "MAILSTOP F757",
"city": "AURORA",
"state": "CO",
"postal_code": "800452545",
"telephone_number": "720-848-4898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12605 E 16TH AVE",
"address_2": "MAILSTOP F757",
"city": "AURORA",
"state": "CO",
"postal_code": "800452545",
"telephone_number": "720-848-4898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "IKE",
"middle_name": "I",
"name_prefix": "Dr.",
"credential": "PHARM.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-09-29",
"last_updated": "2009-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "CO",
"license": "12568",
"primary": true
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "CO",
"license": "12568",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.