Individual provider Active NPI

Ryan Kim, PHARMACIST

  • Pharmacist
  • Bellflower, CA
National Provider Identifier
1720104292
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH43187 Issued in CA
Practice address
10230 Artesia Blvd Ste 101
Bellflower, CA 90706-6768
Phone
(562) 866-8281
Fax
(562) 866-3427
NPI assigned
Mar 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH43187 CA Primary

Addresses

Primary practice location

10230 Artesia Blvd Ste 101
Bellflower, CA 90706-6768

Mailing address

10230 Artesia Blvd Ste 101
Bellflower, CA 90706-6768
Phone (562) 866-8281

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

LicenseStateTypeSpecialty
RPH43187CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Bellwood Specialty Pharmacy Corp Current Accepting new patients
Bellwood Medical Center Pharmacy Corp Current Accepting new patients
Bellwood Medical Center Pharmacy Corp Current Accepting new patients

Locations

10230 Artesia Blvd
Ste 101
Bellflower, CA 90706
Phone (562) 866-8281

Organizations & group practices 3

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": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1720104292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10230 ARTESIA BLVD STE 101",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907066768",
            "telephone_number": "562-866-8281",
            "fax_number": "562-866-3427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10230 ARTESIA BLVD STE 101",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907066768",
            "telephone_number": "562-866-8281",
            "fax_number": "562-866-3427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "RYAN",
        "name_prefix": "Mr.",
        "credential": "PHARMACIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH43187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellflower, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.