Active NPI
Steven Domyung Kim, PHARMD
- Pharmacist
- Burbank, CA
National Provider Identifier
1720625908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH81257
- Practice address
- 511 N Hollywood Way
Burbank, CA 91505-3406 - Phone
- (818) 841-0710
- NPI assigned
- Dec 5, 2019
- 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 | RPH81257 | CA | Primary |
Addresses
Primary practice location
511 N Hollywood Way
Burbank, CA 91505-3406
Mailing address
9961 Rancho Caballo Dr
Shadow Hills, CA 91040-1547
Phone (818) 689-2481
Other practice location 1
1820 W Verdugo Ave
Burbank, CA 91506-2150
Phone (818) 845-9332
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 |
|---|---|---|---|
| RPH81257 | CA | MD | Pharmacist |
Interoperability endpoints
- steven.kim.p2@direct.mydohc.nextgenshare.com
- steven.kim.p5@direct.mydohc.nextgenshare.com
- steven.kim.p2@direct.hvvmg.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575504000000",
"number": "1720625908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9961 RANCHO CABALLO DR",
"city": "SHADOW HILLS",
"state": "CA",
"postal_code": "910401547",
"telephone_number": "818-689-2481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 N HOLLYWOOD WAY",
"city": "BURBANK",
"state": "CA",
"postal_code": "915053406",
"telephone_number": "818-841-0710"
}
],
"practiceLocations": [
{
"address_1": "1820 W Verdugo Ave",
"address_purpose": "LOCATION",
"city": "Burbank",
"state": "CA",
"postal_code": "915062150",
"country_code": "US",
"telephone_number": "818-845-9332",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "STEVEN",
"middle_name": "DOMYUNG",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-12-05",
"last_updated": "2019-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH81257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.