Active NPI
Ji Young Min Kim
- Pharmacist
- Smyrna, GA
National Provider Identifier
1699455709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH028699
- Practice address
- 2201 Cobb Pkwy SE
Smyrna, GA 30080-7629 - Phone
- (770) 373-2349
- NPI assigned
- Jul 24, 2023
- Sex
- Female
- 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 | RPH028699 | GA | Primary |
Addresses
Primary practice location
2201 Cobb Pkwy SE
Smyrna, GA 30080-7629
Mailing address
5045 Cinnabar Dr
Alpharetta, GA 30022-7918
Phone (678) 492-4308
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH028699 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690156800000",
"number": "1699455709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5045 CINNABAR DR",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300227918",
"telephone_number": "678-492-4308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2201 COBB PKWY SE",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300807629",
"telephone_number": "770-373-2349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "JI YOUNG",
"middle_name": "MIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-24",
"last_updated": "2023-07-24",
"certification_date": "2023-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH028699",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Smyrna, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.