Active NPI
Karen Hyun Kim, PHARMD
- Pharmacist
- Los Angeles, CA
National Provider Identifier
1467966705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 72598
- Practice address
- 356 S Western Ave
Ste 104-105
Los Angeles, CA 90020-3814 - Phone
- (323) 836-3686
- Fax
- (213) 908-6310
- NPI assigned
- Nov 23, 2017
- 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 | 72598 | CA | Primary |
Addresses
Primary practice location
356 S Western Ave
Ste 104-105
Los Angeles, CA 90020-3814
Mailing address
356 S Western Ave
Ste 104-105
Los Angeles, CA 90020-3814
Phone (323) 836-3686
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 |
|---|---|---|---|
| 72598 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SJ Pharmacy Investment Inc. | Pharmacist | Current | Accepting new patients |
Locations
1825 W Avenue J
Ste 115
Lancaster, CA 93534
Phone (661) 723-8001
356 S Western Ave
Ste 104105
Los Angeles, CA 90020
Phone (213) 908-6424
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607990400000",
"number": "1467966705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "356 S WESTERN AVE",
"address_2": "STE 104-105",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900203814",
"telephone_number": "323-836-3686",
"fax_number": "213-908-6310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "356 S WESTERN AVE",
"address_2": "STE 104-105",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900203814",
"telephone_number": "323-836-3686",
"fax_number": "213-908-6310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "KAREN",
"middle_name": "HYUN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-23",
"last_updated": "2020-12-15",
"certification_date": "2020-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "72598",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.