Susan Taeja Kim, PHARMACIST

Primary specialty

PharmacistTaxonomy code 183500000X

License

048612-1 Issued in NY

Practice address

1400 Blackhorse Hill Rd
Pharmacy(119)
Coatesville, PA 19320-2040

Phone

(610) 383-0282

Fax

(610) 383-0269

NPI assigned

Sep 20, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649378274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 WINDING RIVER LN",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194603183",
            "telephone_number": "610-935-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 BLACKHORSE HILL RD",
            "address_2": "PHARMACY(119)",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193202040",
            "telephone_number": "610-383-0282",
            "fax_number": "610-383-0269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "SUSAN",
        "middle_name": "TAEJA",
        "credential": "PHARMACIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "048612-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J Andrew Kerr, PSY.D.
• Keystone Helicopters Corporation
• Gauhar Khurshid, M.D.
• Keri Ann Kilgore, PHDHP
• Susan Jin Kim-Morris, D.M.D.
• Daniel King
• Sharon Z. Klavans
• Sheree A Klopp, R.D.
• Alexander J. Klufas, M.D.
• Mary L Knapik, OTR/L

• Pharmacist in Coatesville, PA
• Providers in Coatesville, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.