Active NPI
Rachel Dahye Kim
- Pharmacist
- Whittier, CA
National Provider Identifier
1467162891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 87351
- Practice address
- 15466 Whittier Blvd
Whittier, CA 90603-1301 - Phone
- (562) 943-9303
- NPI assigned
- Nov 28, 2022
- Last updated
- Nov 28, 2022
- 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 | 87351 | CA | Primary |
Addresses
Primary practice location
15466 Whittier Blvd
Whittier, CA 90603-1301
Mailing address
12442 Lambert Cir
Garden Grove, CA 92841-3816
Phone (714) 222-6790
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 |
|---|---|---|---|
| 87351 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garfield Beach CVS LLC | Past | Accepting new patients | |
| Garfield Beach CVS, L.L.C. | 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": "1669593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669593600000",
"number": "1467162891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12442 LAMBERT CIR",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928413816",
"telephone_number": "714-222-6790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15466 WHITTIER BLVD",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906031301",
"telephone_number": "562-943-9303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "RACHEL",
"middle_name": "DAHYE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-28",
"last_updated": "2022-11-28",
"certification_date": "2022-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "87351",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Whittier, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.