Rebecca Kim

Primary specialty

PharmacistTaxonomy code 183500000X

License

1-121695 Issued in KS

Practice address

12290 College Blvd
Overland Park, KS 66210-4049

Phone

(913) 327-1332

NPI assigned

Feb 23, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Missouri LTC Pharmacy LLC

  • Long Term Care Pharmacy
  • Fenton, MO
  • NPI 1134668445
  NPD
• Missouri LTC Pharmacy LLC

  • Long Term Care Pharmacy
  • Brookline, MO
  • NPI 1003327537
  NPD (past)

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

{
    "created_epoch": "1614038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1669066304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11450 LAMAR AVE UNIT 3206",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12290 COLLEGE BLVD",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662104049",
            "telephone_number": "913-327-1332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1617 Manufacturers Dr",
            "address_purpose": "LOCATION",
            "city": "Fenton",
            "state": "MO",
            "postal_code": "630262838",
            "country_code": "US",
            "telephone_number": "314-690-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "REBECCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-23",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2019041872",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KS",
            "license": "1-121695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE NUMBER FOR KANSAS",
            "identifier": "1-121695",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE NUMBER FOR MISSOURI",
            "identifier": "2019041872",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kim Wade Counseling, LLC
• Alexander Yongdok Kim, DO
• Brian Kim, MD
• Joon Won Kim, DDS
• Rachel Kim, DDS
• Patricia Ann Kimberling, RD
• Kimberly M. Wirths, MD, PA
• Silverus Ngetich Kimeli, ARNP
• Charles R Kimes, D.D.S.
• Fionah K Kimeu, RBT

• Pharmacist in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Pharmacist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; 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.