Kima Corporation

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH252 Issued in FL

Legal business name

KIMA CORPORATION

Doing business as

DAVIE BOULEVARD DRUGS

Practice address

2629 Davie Blvd
Fort Lauderdale, FL 33312-3029

Phone

(954) 583-9433

Fax

(954) 587-7863

NPI assigned

Feb 20, 2007

Organization subpart

No

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

Authorized official

Name

Janius Gomez

Title

Store Manager

Phone

(954) 583-9433

Specialties & licenses 1

Addresses

Other names 1

• DAVIE BOULEVARD DRUGS Doing business as

Locations

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699810663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2629 DAVIE BLVD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333123029",
            "telephone_number": "954-583-9433",
            "fax_number": "954-587-7863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2629 DAVIE BLVD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333123029",
            "telephone_number": "954-583-9433",
            "fax_number": "954-587-7863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMA CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "JANIUS",
        "authorized_official_title_or_position": "STORE MANAGER",
        "authorized_official_telephone_number": "954-583-9433"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DAVIE BOULEVARD DRUGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Janet Diane Kilian
• Brittany Kim
• Esther Seulgee Kim
• Jinhyuck Kim, DO
• Robert Kim
• Collis Kimbrough, LCSW
• Courtney J Kimmons, PHARMD
• Kimquest LLC
• Juliana Kinabo
• Kind Kids Therapy Center LLC

• Community/Retail Pharmacy in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.