Individual provider Active NPI

Karen Hyun Kim, PHARMD

  • Pharmacist
  • Los Angeles, CA
National Provider Identifier
1467966705
Registry record updated Dec 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
72598 Issued in CA
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

Updated by the provider on Dec 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
72598CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
SJ Pharmacy Investment Inc. Pharmacist CurrentSince Dec 16, 2020 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.

Verify at the official NPI Registry.