Individual provider Active NPI

Jung Eun Kim, PHARMD

  • Pharmacy
  • Laguna Niguel, CA
National Provider Identifier
1659840080
Registry record updated Nov 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Practice address
24022 Aliso Creek Rd
Laguna Niguel, CA 92677-3910
Phone
(949) 643-2287
NPI assigned
Nov 14, 2018
Last updated
Nov 14, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU Primary

Addresses

Primary practice location

24022 Aliso Creek Rd
Laguna Niguel, CA 92677-3910

Mailing address

24022 Aliso Creek Rd
Laguna Niguel, CA 92677-3910
Phone (949) 643-2287

Other practice location 1

28150 Keller Rd
Murrieta, CA 92563-2432
Phone (866) 984-7483

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

Interoperability endpoints

  • Direct secure messaging: jungeun.kim.p5@direct.mydohc.nextgenshare.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1542153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542153600000",
    "number": "1659840080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24022 ALISO CREEK RD",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926773910",
            "telephone_number": "949-643-2287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24022 ALISO CREEK RD",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926773910",
            "telephone_number": "949-643-2287"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28150 Keller Rd",
            "address_purpose": "LOCATION",
            "city": "Murrieta",
            "state": "CA",
            "postal_code": "925632432",
            "country_code": "US",
            "telephone_number": "866-984-7483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "JUNG EUN",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-14",
        "last_updated": "2018-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Niguel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; 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.