Minju Kim

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI03011900 Issued in NJ

Practice address

690 Millbrook Ave
Randolph, NJ 07869-3756

Phone

(973) 895-2694

NPI assigned

Mar 25, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Minju Kim Professional 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": "1458864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458864000000",
    "number": "1467814657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 MILLBROOK AVE",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078693756",
            "telephone_number": "973-895-2694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 MILLBROOK AVE",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078693756",
            "telephone_number": "973-895-2694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "MINJU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-25",
        "last_updated": "2016-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03011900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MINJU",
            "last_name": "KIM",
            "prefix": "DR.",
            "credential": "PHARM D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Amanda Faith Kielbania, LCSW
• Yvonne Kiernan
• Grace G Kim, D.P.T.
• Jason Kim, DO
• Joseph Kim, M.D.
• Young Kyu Kim, D.D.S
• Mindy Strauss Kirschner, MA,CCC/SLP
• Kishwar Shareef MD PC
• Brian Jeffrey Klein, D.M.D
• Carrie Ann Knowlton, PT, DPT

• Pharmacist in Randolph, NJ
• Providers in Randolph, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2016; 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.