Kelly H Shin, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

48871 Issued in CA

Practice address

7100 Santa Monica Blvd
Suite 201
West Hollywood, CA 90046-5896

Phone

(323) 603-0005

NPI assigned

Jun 6, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Garfield Beach CVS LLC

  • Pharmacy
  • West Hollywood, CA
  • NPI 1710909320
  NPD (past)
• Garfield Beach CVS, L.L.C.

  • Pharmacy
  • Jurupa Valley, CA
  • NPI 1780573113
  NPD (past)

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

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307318400000",
    "number": "1447544564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 SANTA MONICA BLVD",
            "address_2": "SUITE 201",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900465896",
            "telephone_number": "323-603-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 SANTA MONICA BLVD",
            "address_2": "SUITE 201",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900465896",
            "telephone_number": "323-603-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIN",
        "first_name": "KELLY",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-06",
        "last_updated": "2011-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "48871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander L Shiang, MD, MPHS
• Tiffany Sue Shick, MD
• Sofanit Shiferaw
• Eunkyung Shin
• Janet Koeun Shin, MD
• Arvind Manohar Shinde, M.D., M.B.A., M.P.H.
• Saman Shirazi-Nejad, DC
• Vivian Negar Shirvani, M.D., M.P.H.
• Jun Shoji, M.D.
• Daniel Shouhed, M.DM

• All providers in West Hollywood, CA
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2011; 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.