Active NPI
Hee Joon Kim
- Pharmacist
- La, CA
National Provider Identifier
1710236377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH 36808
- Practice address
- 2727 W Olympic Blvd #103
La, CA 90006 - Phone
- (213) 738-6970
- NPI assigned
- Aug 29, 2012
- Last updated
- Aug 29, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 | RPH 36808 | CA | Primary |
Addresses
Primary practice location
2727 W Olympic Blvd #103
La, CA 90006
Mailing address
2727 W Olympic Blvd #103
La, CA 90006
Phone (213) 738-6970
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 |
|---|---|---|---|
| RPH 36808 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| P&a RX 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346198400000",
"number": "1710236377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2727 W OLYMPIC BLVD #103",
"city": "LA",
"state": "CA",
"postal_code": "90006",
"telephone_number": "213-738-6970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2727 W OLYMPIC BLVD #103",
"city": "LA",
"state": "CA",
"postal_code": "90006",
"telephone_number": "213-738-6970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "HEE JOON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-08-29",
"last_updated": "2012-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH 36808",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.