Individual provider Active NPI

Tory Lynn Kim, R.PH. PHARM.D. BCPS

  • Pharmacotherapy Pharmacist
  • Bellevue, WA
National Provider Identifier
1699967539
Registry record updated Aug 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacotherapy PharmacistTaxonomy code 1835P1200X
License
PH 19850 Issued in WA
Practice address
5620 119TH Ave SE
Bellevue, WA 98006-3738
Phone
(425) 746-8162
NPI assigned
Aug 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacotherapy Pharmacist 1835P1200X PH 19850 WA Primary

Addresses

Primary practice location

5620 119TH Ave SE
Bellevue, WA 98006-3738

Mailing address

5620 119TH Ave SE
Bellevue, WA 98006-3738
Phone (425) 746-8162

Other names 1

  • Ms. Tory Lynn Taylor Former name

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

LicenseStateTypeSpecialty
PH 19850WAMDPharmacotherapy Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Newport Hills Drug Inc. Past Accepting new patients

Organizations & group practices 1

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": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187049600000",
    "number": "1699967539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5620 119TH AVE SE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980063738",
            "telephone_number": "425-746-8162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5620 119TH AVE SE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980063738",
            "telephone_number": "425-746-8162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "TORY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "R.PH. PHARM.D. BCPS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-14",
        "last_updated": "2007-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "WA",
            "license": "PH 19850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TORY",
            "last_name": "TAYLOR",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "R.PH.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; 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.