NA Yon Kim

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

47286 Issued in TN

Practice address

4065 Cane Ridge Pkwy #433
Antioch, TN 37013

Phone

(615) 818-4169

NPI assigned

Jun 26, 2023

Last updated

Jun 26, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Nayon Kim Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1588340491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4065 CANE RIDGE PKWY #433",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "37013",
            "telephone_number": "615-818-4169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4065 CANE RIDGE PKWY #433",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "37013",
            "telephone_number": "615-818-4169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "NA",
        "middle_name": "YON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-26",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "TN",
            "license": "47286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NAYON",
            "last_name": "KIM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Savina Louise Kimbrough, FNP
• Tonia Denise King, RN
• Pauline S. Kong-Mean, APRN
• Kyle Edward Kragenbrink, O.D.
• Kroger Limited Partnership I (Kroger Pharmacy)

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Antioch, TN
• Providers in Antioch, TN by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.