Ahnra Kim, PHARMACIST

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH00067873 Issued in WA

Practice address

430 SE 192ND Ave
Walmart Pharmacy
Vancouver, WA 98683-9531

Phone

(360) 256-6361

Fax

(360) 256-6378

NPI assigned

Jul 26, 2014

Last updated

Jun 16, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Anna Kim Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1406332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1437567120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 SW 13TH AVE",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986042800",
            "telephone_number": "360-723-9007",
            "fax_number": "360-687-8192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 SE 192ND AVE",
            "address_2": "WALMART PHARMACY",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986839531",
            "telephone_number": "360-256-6361",
            "fax_number": "360-256-6378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "AHNRA",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-26",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "OR",
            "license": "RPH-0012695",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH00067873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "KIM",
            "prefix": "MISS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kara Marie Killorin, RN
• Rebecca Kilpatrick
• James Bernard Kilway II, MD
• Mary E Kilway, SLP
• Julie G. Kilzer, APRN
• Boyeong Kim, D.O.
• Byung-Taek Kim, RPH
• Chaewon Kim
• David Kim, PT
• Dong Pil Kim, MD

• Pharmacist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Pharmacist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.