Active NPI
Hyunjung Kim
- Pharmacist
- Duluth, GA
National Provider Identifier
1427718436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH033446
- Practice address
- 2705 Buford Hwy
Duluth, GA 30096-2833 - Phone
- (770) 476-5363
- NPI assigned
- Dec 19, 2021
- Last updated
- Dec 27, 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 | RPH033446 | GA | Primary |
Addresses
Primary practice location
2705 Buford Hwy
Duluth, GA 30096-2833
Mailing address
1251 Park Pass Way
Suwanee, GA 30024-4353
Phone (813) 787-5228
Other practice location 1
1251 Park Pass Way
Suwanee, GA 30024-4353
Phone (813) 787-5228
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 |
|---|---|---|---|
| RPH033446 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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": "1639872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640563200000",
"number": "1427718436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1251 PARK PASS WAY",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300244353",
"telephone_number": "813-787-5228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2705 BUFORD HWY",
"city": "DULUTH",
"state": "GA",
"postal_code": "300962833",
"telephone_number": "770-476-5363"
}
],
"practiceLocations": [
{
"address_1": "1251 Park Pass Way",
"address_purpose": "LOCATION",
"city": "Suwanee",
"state": "GA",
"postal_code": "300244353",
"country_code": "US",
"telephone_number": "813-787-5228",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "HYUNJUNG",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-19",
"last_updated": "2021-12-27",
"certification_date": "2021-12-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH033446",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Duluth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.