Active NPI
Kira Kim, RPH
- Pharmacist
- Greenville, SC
National Provider Identifier
1639329261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 9283
- Practice address
- 1400 Woodruff Rd
Greenville, SC 29607-5740 - Phone
- (864) 297-4429
- Fax
- (863) 297-9305
- NPI assigned
- Sep 18, 2008
- Sex
- Female
- 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 | 9283 | SC | Primary |
Addresses
Primary practice location
1400 Woodruff Rd
Greenville, SC 29607-5740
Mailing address
14 Ruby Lake LN
Simpsonville, SC 29681-3707
Phone (864) 297-4429
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 |
|---|---|---|---|
| 9283 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eckerd Corporation | Past | Accepting new patients |
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.
-
- Community/Retail Pharmacy
- Virginia Beach, VA
- NPI 1982703120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221696000000",
"number": "1639329261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 RUBY LAKE LN",
"city": "SIMPSONVILLE",
"state": "SC",
"postal_code": "296813707",
"telephone_number": "864-297-4429",
"fax_number": "864-297-9305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 WOODRUFF RD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296075740",
"telephone_number": "864-297-4429",
"fax_number": "863-297-9305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "KIRA",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-18",
"last_updated": "2008-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "9283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.