Active NPI
Naomi Kim, PHARMD
- Pharmacist
- Glendale, CO
National Provider Identifier
1700301983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0021867
- Practice address
- 360 S Colorado Blvd
Glendale, CO 80246-1205 - Phone
- (720) 258-8203
- Fax
- (720) 258-8209
- NPI assigned
- Aug 8, 2017
- 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 | 0021867 | CO | Primary |
Addresses
Primary practice location
360 S Colorado Blvd
Glendale, CO 80246-1205
Mailing address
360 S Colorado Blvd
Glendale, CO 80246-1205
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 |
|---|---|---|---|
| 0021867 | CO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550102400000",
"number": "1700301983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 S COLORADO BLVD",
"city": "GLENDALE",
"state": "CO",
"postal_code": "802461205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 S COLORADO BLVD",
"city": "GLENDALE",
"state": "CO",
"postal_code": "802461205",
"telephone_number": "720-258-8203",
"fax_number": "720-258-8209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "NAOMI",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-08",
"last_updated": "2019-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "0021867",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.