Tyler Y Kim

Primary specialty

PharmacistTaxonomy code 183500000X

License

063875 Issued in NY

Practice address

485 Great Neck Rd Ste 1
Great Neck, NY 11021-4318

Phone

(516) 441-5400

NPI assigned

Mar 14, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• H Plaza Pharmacy Inc

  • Community/Retail Pharmacy
  • Little Neck, NY
  • NPI 1336423763
  NPD (past)

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520985600000",
    "number": "1679076772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18840B 71ST CRES APT 3A",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113653724",
            "telephone_number": "917-683-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 GREAT NECK RD STE 1",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110214318",
            "telephone_number": "516-441-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "TYLER",
        "middle_name": "Y",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-14",
        "last_updated": "2018-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "063875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Victoria Kim, FNP-BC
• Joann Kim, OTR/L
• Kyung Hyun Kim, DDS
• Nancy Kim, MA, PT
• Sungsoo Kim, MD
• Young Dong Kim, PT
• Chloe Kimiabakhsh, NP
• Kinect Physical Therapy, P.C.
• Cynthia P King
• Kings Point Medical, PLLC

• Pharmacist in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Pharmacist in New York

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