Active NPI
James Jung in Kim, PHARMD
- Pharmacist
- Cheyenne, WY
National Provider Identifier
1679979371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 3647
- Practice address
- 2032 Dell Range Blvd
Cheyenne, WY 82009-4956 - Phone
- (307) 634-7433
- Fax
- (307) 634-0665
- NPI assigned
- Nov 7, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0020018 | CO | |
| Pharmacist | 183500000X | 3647 | WY | Primary |
Addresses
Primary practice location
2032 Dell Range Blvd
Cheyenne, WY 82009-4956
Mailing address
2032 Dell Range Blvd
Cheyenne, WY 82009-4956
Phone (307) 634-7433
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0020018 | CO | MD | Pharmacist |
| 3647 | WY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559174400000",
"number": "1679979371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2032 DELL RANGE BLVD",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820094956",
"telephone_number": "307-634-7433",
"fax_number": "307-634-0665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2032 DELL RANGE BLVD",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820094956",
"telephone_number": "307-634-7433",
"fax_number": "307-634-0665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "JAMES",
"middle_name": "JUNG IN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-11-07",
"last_updated": "2019-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "0020018",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WY",
"license": "3647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cheyenne, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.