Active NPI
Haena Kim, RPH
- Pharmacist
- Fullerton, CA
National Provider Identifier
1487311098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 85185
- Practice address
- 130 W Hill Ave Apt 99
Fullerton, CA 92832-2983 - Phone
- (510) 789-9334
- NPI assigned
- Nov 18, 2021
- Last updated
- Dec 23, 2021
- 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 | 85185 | CA | Primary |
Addresses
Primary practice location
130 W Hill Ave Apt 99
Fullerton, CA 92832-2983
Mailing address
130 W Hill Ave Apt 99
Fullerton, CA 92832-2983
Phone (510) 789-9334
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
- Registered Pharmacist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640217600000",
"number": "1487311098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 W HILL AVE APT 99",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928322983",
"telephone_number": "510-789-9334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 W HILL AVE APT 99",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928322983",
"telephone_number": "510-789-9334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "HAENA",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-18",
"last_updated": "2021-12-23",
"certification_date": "2021-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "85185",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.