Active NPI
Ernie Khim Jr.
- Pharmacist
- Larkspur, CA
National Provider Identifier
1659930576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 43027
- Practice address
- 570 Magnolia Ave
Larkspur, CA 94939-1343 - Phone
- (415) 924-6738
- NPI assigned
- Jun 13, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 | 43027 | CA | Primary |
Addresses
Primary practice location
570 Magnolia Ave
Larkspur, CA 94939-1343
Mailing address
570 Magnolia Ave
Larkspur, CA 94939-1343
Phone (415) 924-6738
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560384000000",
"number": "1659930576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "570 MAGNOLIA AVE",
"city": "LARKSPUR",
"state": "CA",
"postal_code": "949391343",
"telephone_number": "415-924-6738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "570 MAGNOLIA AVE",
"city": "LARKSPUR",
"state": "CA",
"postal_code": "949391343",
"telephone_number": "415-924-6738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHIM",
"first_name": "ERNIE",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-06-13",
"last_updated": "2019-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "43027",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Larkspur, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.