Individual provider Active NPI

Jihye Kiim, PHARMD

  • Pharmacist
  • Albuquerque, NM
National Provider Identifier
1528290491
Registry record updated Aug 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP00007306 Issued in NM
Practice address
12200 Academy Rd NE
#923
Albuquerque, NM 87111-7245
Phone
(307) 631-6325
NPI assigned
Aug 11, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP00007306 NM Primary

Addresses

Primary practice location

12200 Academy Rd NE
#923
Albuquerque, NM 87111-7245

Mailing address

12200 Academy Rd NE
#923
Albuquerque, NM 87111-7245
Phone (307) 631-6325

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
RP00007306NMMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1249948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249948800000",
    "number": "1528290491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12200 ACADEMY RD NE",
            "address_2": "#923",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871117245",
            "telephone_number": "307-631-6325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 ACADEMY RD NE",
            "address_2": "#923",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871117245",
            "telephone_number": "307-631-6325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIIM",
        "first_name": "JIHYE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-11",
        "last_updated": "2009-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NM",
            "license": "RP00007306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2009; 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.