Active NPI
John Jong Kim, RPH
- Pharmacist
- Dunkirk, MD
National Provider Identifier
1578047684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 25370
- Practice address
- 10095 Ward Rd
Dunkirk, MD 20754-2731 - Phone
- (410) 257-0191
- NPI assigned
- Sep 25, 2018
- Last updated
- Sep 25, 2018
- Sex
- Male
- 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 | 25370 | MD | Primary |
Addresses
Primary practice location
10095 Ward Rd
Dunkirk, MD 20754-2731
Mailing address
10095 Ward Rd
Dunkirk, MD 20754-2731
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25370 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537833600000",
"number": "1578047684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10095 WARD RD",
"city": "DUNKIRK",
"state": "MD",
"postal_code": "207542731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10095 WARD RD",
"city": "DUNKIRK",
"state": "MD",
"postal_code": "207542731",
"telephone_number": "410-257-0191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "JOHN",
"middle_name": "JONG",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-25",
"last_updated": "2018-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "25370",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dunkirk, MD
- Patricia Ann Kane, F.N.P.-C.
- Brendan James Christopher Keena, PT, DPT
- Catherine Kellogg, LCSW-C
- Omid Kiarash, DMD, MSD
- Clay Hakmin Kim, DDS, MD
- Troy Jonathan Kraft, PT
- Amanda Elizabeth Kressin
- Ksa Youth Foundation Inc. (A plus Counseling Center)
- Ksa Youth Foundation Inc. (A plus Health Center)
- Michael Kurt Kuegler, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.