Active NPI
Dukhyun Pius Kim, PHARMD
- Pharmacist
- White Plains, NY
National Provider Identifier
1760152854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 068103
- Practice address
- 154 Westchester Ave
White Plains, NY 10601-4512 - Phone
- (914) 997-1530
- NPI assigned
- Sep 20, 2021
- 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 | 068103 | NY | Primary |
Addresses
Primary practice location
154 Westchester Ave
White Plains, NY 10601-4512
Mailing address
156 Ashburton Ave FL 3
Yonkers, NY 10701-3201
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 |
|---|---|---|---|
| 068103 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Stop & Shop Supermarket Company LLC | Past | Accepting new patients | |
| Stop and Shop Supermarket Co LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Retail Pharmacy
- White Plains, NY
- NPI 1760414627
-
- Community/Retail Pharmacy
- Kinnelon, NJ
- NPI 1932570363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632096000000",
"number": "1760152854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "156 ASHBURTON AVE FL 3",
"city": "YONKERS",
"state": "NY",
"postal_code": "107013201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "154 WESTCHESTER AVE",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106014512",
"telephone_number": "914-997-1530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "DUKHYUN",
"middle_name": "PIUS",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-09-20",
"last_updated": "2021-09-20",
"certification_date": "2021-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "068103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in White Plains, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.