Active NPI
Christopher H Kim, PHARM D
- Pharmacist
- Lynnwood, WA
National Provider Identifier
1649786393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60793723
- Practice address
- 4615 196TH St SW Ste 175
Lynnwood, WA 98036-3000 - Phone
- (425) 670-0233
- Fax
- (425) 670-0242
- NPI assigned
- Dec 18, 2017
- 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 | PH60793723 | WA | Primary |
Addresses
Primary practice location
4615 196TH St SW Ste 175
Lynnwood, WA 98036-3000
Mailing address
1731 NW 57TH St Apt 208
Seattle, WA 98107-3479
Phone (805) 794-9100
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 |
|---|---|---|---|
| PH60793723 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fred Meyer Stores Inc. | Past | Accepting new patients | |
| Fred Meyer Stores Inc | Past | Accepting new patients |
Organizations & group practices 2
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
- Lynnwood, WA
- NPI 1568405777
-
- Community/Retail Pharmacy
- Lynnwood, WA
- NPI 1558235762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513555200000",
"number": "1649786393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1731 NW 57TH ST APT 208",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981073479",
"telephone_number": "805-794-9100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4615 196TH ST SW STE 175",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980363000",
"telephone_number": "425-670-0233",
"fax_number": "425-670-0242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "CHRISTOPHER",
"middle_name": "H",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-12-18",
"last_updated": "2017-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60793723",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.