Kims Pharmacy Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

KIMS PHARMACY INC.

Practice address

150-15 Northern Blvd
Flushing, NY 11354

Phone

(917) 563-7502

Fax

(917) 563-7503

NPI assigned

Jan 19, 2018

Organization subpart

No

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

Authorized official

Name

Seong Mi Seo KimNPI 1902129703

Title

President

Phone

(917) 563-7502

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• JOA PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Seong Mi Seo Kim, PHARM D

  • Pharmacist
  • Brooklyn, NY
  • NPI 1902129703
  NPD (past) Authorized official
• Jung Eun Song, PHARMD

  • Pharmacist
  • Flushing, NY
  • NPI 1649834334
  NPD (past)

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

{
    "created_epoch": "1516320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583366400000",
    "number": "1467960864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150-15 NORTHERN BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11354",
            "telephone_number": "917-563-7502",
            "fax_number": "917-563-7503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150-15 NORTHERN BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11354",
            "telephone_number": "917-563-7502",
            "fax_number": "917-563-7503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMS PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-19",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SEONG MI",
        "authorized_official_middle_name": "SEO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-563-7502"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05088940",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JOA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yu Kim, RPH.
• Yu Jin Kim
• Kim'S Orthopedic Shoes,Inc
• Ekaterina Kimatova
• David W Kimm, MD
• Kind Strategies Inc.
• Kindred Spirits Occupational Therapy PLLC
• Kinesis Physical Therapy and Rehabilitation PC
• Kinezix P.T.C Incorporated
• King Chen Hon MDPC

• Pharmacy in Flushing, NY
• Providers in Flushing, NY by specialty
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.