Bomin Kang

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

License

23744 Issued in MD

Practice address

7400 Ritchie Hwy
Glen Burnie, MD 21061-3110

Phone

(410) 760-2112

NPI assigned

Nov 1, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1446336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446336000000",
    "number": "1487027348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 WELLS AVE",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210612726",
            "telephone_number": "412-432-6883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 RITCHIE HWY",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613110",
            "telephone_number": "410-760-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG",
        "first_name": "BOMIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-01",
        "last_updated": "2015-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "MD",
            "license": "23744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
• Kaitlyn'S Counseling Corner
• Richa Kalsi, MD
• Uwaezu Mercy Kalu, CRNP
• Nirmala Kammana, M.D.
• Joo Hyun Sabina Kang, P. A.
• Kaplan and Kaplan MD PA
• Ira Edward Kaplan, M.D.
• Karan Kapoor, LMSW
• Rani Sudha Karipineni, MD

• All providers in Glen Burnie, MD
• Pharmacotherapy Pharmacist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2015; 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.