Active NPI
Taeho Kim
- Pharmacist
- Mount Kisco, NY
National Provider Identifier
1700045986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 045520
- Practice address
- 10 S Bedford Rd
Mount Kisco, NY 10549-3408 - Phone
- (914) 242-3651
- Fax
- (914) 242-3753
- NPI assigned
- Jun 3, 2008
- 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 | 045520 | NY | Primary |
Addresses
Primary practice location
10 S Bedford Rd
Mount Kisco, NY 10549-3408
Mailing address
10 S Bedford Rd
Mount Kisco, NY 10549-3408
Phone (914) 242-3651
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 |
|---|---|---|---|
| 045520 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212451200000",
"number": "1700045986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 S BEDFORD RD",
"city": "MOUNT KISCO",
"state": "NY",
"postal_code": "105493408",
"telephone_number": "914-242-3651",
"fax_number": "914-242-3753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 S BEDFORD RD",
"city": "MOUNT KISCO",
"state": "NY",
"postal_code": "105493408",
"telephone_number": "914-242-3651",
"fax_number": "914-242-3753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "TAEHO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-03",
"last_updated": "2008-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "045520",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Kisco, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.