Active NPI
Min Kim
- Pharmacist
- Camarillo, CA
National Provider Identifier
1679000640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 48554
- Practice address
- 5800 Santa Rosa Rd
Camarillo, CA 93012-7056 - Phone
- (805) 484-8208
- Fax
- (805) 389-0713
- NPI assigned
- May 21, 2017
- Last updated
- May 21, 2017
- Sex
- Female
- 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 | 48554 | CA | Primary |
Addresses
Primary practice location
5800 Santa Rosa Rd
Camarillo, CA 93012-7056
Mailing address
1774 Red Robin PL
Newbury Park, CA 91320-6567
Phone (805) 233-0208
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": "1495324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1495324800000",
"number": "1679000640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1774 RED ROBIN PL",
"city": "NEWBURY PARK",
"state": "CA",
"postal_code": "913206567",
"telephone_number": "805-233-0208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5800 SANTA ROSA RD",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930127056",
"telephone_number": "805-484-8208",
"fax_number": "805-389-0713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "MIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-21",
"last_updated": "2017-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "48554",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camarillo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.