Active NPI
Stephen Kim, PHARM. D
- Pharmacist
- Pottstown, PA
National Provider Identifier
1639765811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP438810
- Practice address
- 1300 N Charlotte St
Pottstown, PA 19464-2351 - Phone
- (610) 326-6949
- NPI assigned
- Dec 12, 2020
- 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 | RP438810 | PA | Primary |
Addresses
Primary practice location
1300 N Charlotte St
Pottstown, PA 19464-2351
Mailing address
1300 N Charlotte St
Pottstown, PA 19464-2351
Phone (610) 326-6949
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 |
|---|---|---|---|
| RP438810 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pennsylvania CVS Pharmacy, L.L.C. | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607731200000",
"number": "1639765811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 N CHARLOTTE ST",
"city": "POTTSTOWN",
"state": "PA",
"postal_code": "194642351",
"telephone_number": "610-326-6949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 N CHARLOTTE ST",
"city": "POTTSTOWN",
"state": "PA",
"postal_code": "194642351",
"telephone_number": "610-326-6949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "STEPHEN",
"name_prefix": "Dr.",
"credential": "PHARM. D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-12",
"last_updated": "2020-12-12",
"certification_date": "2020-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP438810",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pottstown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.