Individual provider Active NPI

Kyungeun Kim Yim

  • Pharmacist
  • Johns Creek, GA
National Provider Identifier
1578435939
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH030800 Issued in GA
Practice address
10820 Abbotts Bridge Rd Ste 240
Johns Creek, GA 30097-5783
Phone
(470) 223-4775
NPI assigned
Sep 23, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH030800 GA Primary

Addresses

Primary practice location

10820 Abbotts Bridge Rd Ste 240
Johns Creek, GA 30097-5783

Mailing address

4340 Elvie Way
Hoschton, GA 30548-1816
Phone (404) 988-9253

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

LicenseStateTypeSpecialty
RPH030800GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Oh Family Medicine Group LLC CurrentSince Sep 28, 2025 Accepting new patients

Locations

10820 Abbotts Bridge Rd
Ste 240
Johns Creek, GA 30097
Phone (470) 223-4775

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1758585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1578435939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4340 ELVIE WAY",
            "city": "HOSCHTON",
            "state": "GA",
            "postal_code": "305481816",
            "telephone_number": "404-988-9253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10820 ABBOTTS BRIDGE RD STE 240",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300975783",
            "telephone_number": "470-223-4775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YIM",
        "first_name": "KYUNGEUN",
        "middle_name": "KIM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-23",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH030800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johns Creek, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; 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.