Peter Kim, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

22259 Issued in MD

Practice address

3715 University Blvd W
Kensington, MD 20895-2123

Phone

(301) 962-8092

NPI assigned

Sep 11, 2020

Sex

Male

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

Doctor of Pharmacy

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 and National Provider Directory roles.

• Maryland CVS Pharmacy, L.L.C.

  • Pharmacy
  • Gaithersburg, MD
  • NPI 1669100285
  NPD (past)
• Maryland CVS Pharmacy, L.L.C.

  • Pharmacy
  • Kensington, MD
  • NPI 1689778532
  NPD (past)

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

{
    "created_epoch": "1599782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1750996187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4048 NORBECK SQUARE DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208531859",
            "telephone_number": "240-463-6710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 UNIVERSITY BLVD W",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208952123",
            "telephone_number": "301-962-8092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "PETER",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-11",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "22259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nazish A Khan, MD
• Anna Kholodnov, LCSW-C
• Kidz & Family Dental Center LLC
• Nancy Elizabeth Kiesel, D.D.S.
• Hyun S Kim
• Sarah Kimberly King, LPMT, MT-BC
• Wambui Gacangi Kiruthi, PHARM.D, RPH, MPH
• Alison M Klucher, M.S., CCC-SLP
• Brett Alice Kluetz, MA, CCC-SLP
• KMH Mental Health Services, Inc.

• Pharmacist in Kensington, MD
• Providers in Kensington, MD by specialty
• Pharmacist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; 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.