Active NPI
Kunyi Kim, PHARMD
- Pharmacist
- Fresh Meadows, NY
National Provider Identifier
1629773429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 070222
- Practice address
- 6962 188TH St
Fresh Meadows, NY 11365-3771 - Phone
- (718) 969-2890
- NPI assigned
- Apr 3, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 | 070222 | NY | Primary |
Addresses
Primary practice location
6962 188TH St
Fresh Meadows, NY 11365-3771
Mailing address
6962 188TH St
Fresh Meadows, NY 11365-3771
Phone (201) 400-6061
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
| License | State | Type | Specialty |
|---|---|---|---|
| 070222 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680480000000",
"number": "1629773429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6962 188TH ST",
"city": "FRESH MEADOWS",
"state": "NY",
"postal_code": "113653771",
"telephone_number": "201-400-6061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6962 188TH ST",
"city": "FRESH MEADOWS",
"state": "NY",
"postal_code": "113653771",
"telephone_number": "718-969-2890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "KUNYI",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-04-03",
"last_updated": "2023-04-03",
"certification_date": "2023-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "070222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresh Meadows, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.