Kim DO, R.PH

Primary specialty

PharmacistTaxonomy code 183500000X

License

018873 Issued in KY

Practice address

635 S Dixie Blvd
Radcliff, KY 40160-1219

Phone

(270) 352-0880

NPI assigned

Oct 10, 2016

Last updated

Oct 10, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• Walgreen Co

  dba Walgreens #11761

  • Pharmacy
  • Radcliff, KY
  • NPI 1114187499
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476057600000",
    "number": "1750831038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 S DIXIE BLVD",
            "city": "RADCLIFF",
            "state": "KY",
            "postal_code": "401601219",
            "telephone_number": "270-352-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 S DIXIE BLVD",
            "city": "RADCLIFF",
            "state": "KY",
            "postal_code": "401601219",
            "telephone_number": "270-352-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DO",
        "first_name": "KIM",
        "credential": "R.PH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-10",
        "last_updated": "2016-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "018873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhianna Danielle Defee
• Tiffany Desilets
• Errol Deveaux, DDS
• Donald Emerson Dick
• Dixie Infusion Clinic, LLC (Vital Care Infusion Clinic - Radcliff)
• Doctors PLLC
• Angela Dawn Dollens, LCSW
• Dovetail Therapy, PLLC
• Vonna Lynd Downs, LPCC
• Dr. Errol Deveaux & Associates Family Dentistry, PSC (DeVeaux Dental Care Center)

• Pharmacist in Radcliff, KY
• Providers in Radcliff, KY by specialty
• Pharmacist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; 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.