Active NPI
Andrea Kim
- Pharmacist
- Chandler, AZ
National Provider Identifier
1427460435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S020043
- Practice address
- 2005 N Dobson Rd
Chandler, AZ 85224-2294 - Phone
- (480) 812-0063
- NPI assigned
- May 25, 2014
- 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 | S020043 | AZ | Primary |
Addresses
Primary practice location
2005 N Dobson Rd
Chandler, AZ 85224-2294
Mailing address
400 N Coronado St
Chandler, AZ 85224-4183
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 |
|---|---|---|---|
| S020043 | AZ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400976000000",
"number": "1427460435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 N CORONADO ST",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852244183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2005 N DOBSON RD",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852242294",
"telephone_number": "480-812-0063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "ANDREA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-25",
"last_updated": "2014-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S020043",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.