Active NPI
Edward Sang Bin Kim, PHARMD
- Pharmacist
- Bronx, NY
National Provider Identifier
1699369140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 067588
- Practice address
- 332 E 188TH St
Bronx, NY 10458-5406 - Phone
- (718) 367-2000
- NPI assigned
- Feb 25, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 067588 | NY | Primary |
Addresses
Primary practice location
332 E 188TH St
Bronx, NY 10458-5406
Mailing address
1 Gussack PLZ
Great Neck, NY 11021-3256
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 |
|---|---|---|---|
| 067588 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chosen RX Inc | Current | Accepting new patients | |
| JJR Drug Corp | Past | Accepting new patients | |
| CVS Albany LLC | Past | Accepting new patients | |
| CVS Albany LLC | Past | Accepting new patients |
Locations
332 E 188th St
Bronx, NY 10458
Phone (718) 367-2000
Organizations & group practices 4
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698278400000",
"number": "1699369140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 GUSSACK PLZ",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110213256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "332 E 188TH ST",
"city": "BRONX",
"state": "NY",
"postal_code": "104585406",
"telephone_number": "718-367-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "EDWARD",
"middle_name": "SANG BIN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-02-25",
"last_updated": "2023-10-26",
"certification_date": "2023-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "067588",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.