Individual provider Active NPI

Eui S Kim, PHARM D, BCPS

  • Pharmacotherapy Pharmacist
  • Hines, IL
National Provider Identifier
1437253614
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacotherapy PharmacistTaxonomy code 1835P1200X
License
032398 Issued in NY
Practice address
Fifth Avenue and Roosevelt Road
Hines VA Medical Center
Hines, IL 60141
Phone
(708) 202-4674
Fax
(708) 202-2088
NPI assigned
Sep 11, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacotherapy Pharmacist 1835P1200X 032398 NY Primary

Addresses

Primary practice location

Fifth Avenue and Roosevelt Road
Hines VA Medical Center
Hines, IL 60141

Mailing address

2557 Brian Dr
Northbrook, IL 60062-7610
Phone (708) 202-8387

Other names 1

  • Sue Kim Professional name

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

NPI Registry JSON

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437253614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2557 BRIAN DR",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600627610",
            "telephone_number": "708-202-8387",
            "fax_number": "708-202-2088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FIFTH AVENUE AND ROOSEVELT ROAD",
            "address_2": "HINES VA MEDICAL CENTER",
            "city": "HINES",
            "state": "IL",
            "postal_code": "60141",
            "telephone_number": "708-202-4674",
            "fax_number": "708-202-2088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "EUI",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PHARM D, BCPS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "NY",
            "license": "032398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUE",
            "last_name": "KIM",
            "credential": "PHARM D, BCPS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Hines, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.