Active NPI
Kwang Kim, PHARMD
- Pharmacist
- Rochester, MN
National Provider Identifier
1447729652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 124100
- Practice address
- 201 Center St W
Rochester, MN 55902-3003 - Phone
- (507) 266-7405
- NPI assigned
- Nov 16, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03337614 | OH | |
| Pharmacist | 183500000X | 124100 | MN | Primary |
Addresses
Primary practice location
201 Center St W
Rochester, MN 55902-3003
Mailing address
1123 Audaz LN SW
Rochester, MN 55902-3415
Phone (614) 984-4766
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 124100 | MN | MD | Pharmacist |
| 03337614 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589155200000",
"number": "1447729652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1123 AUDAZ LN SW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559023415",
"telephone_number": "614-984-4766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 CENTER ST W",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559023003",
"telephone_number": "507-266-7405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "KWANG",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-11-16",
"last_updated": "2020-05-11",
"certification_date": "2020-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03337614",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "124100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.