Active NPI
Sara Jihae Kim, PHARMACIST
- Pharmacist
- Alexandria, VA
National Provider Identifier
1508169525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202207870
- Practice address
- 3614 King St
Alexandria, VA 22302-1908 - Phone
- (703) 379-6030
- Fax
- (703) 379-0414
- NPI assigned
- Dec 13, 2010
- 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 | 0202207870 | VA | Primary |
Addresses
Primary practice location
3614 King St
Alexandria, VA 22302-1908
Mailing address
1600 S Joyce St Apt 1128
Arlington, VA 22202-5124
Phone (571) 213-2856
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202207870 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292198400000",
"number": "1508169525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 S JOYCE ST APT 1128",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222025124",
"telephone_number": "571-213-2856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3614 KING ST",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223021908",
"telephone_number": "703-379-6030",
"fax_number": "703-379-0414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "SARA",
"middle_name": "JIHAE",
"name_prefix": "Ms.",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-13",
"last_updated": "2010-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202207870",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.