Kim Pharmaceuticals LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP482185 Issued in PA

Legal business name

KIM PHARMACEUTICALS LLC

Doing business as

Healing Pharmacy

Practice address

109 W Chelten Ave
Philadelphia, PA 19144-3301

Phone

(267) 297-6482

Fax

(267) 297-6423

NPI assigned

Jul 17, 2011

Last updated

Mar 11, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Paul KimNPI 1205422524

Title

Pharmacist

Phone

(215) 740-0572

Specialties & licenses 5

Addresses

Other identifiers 2

Other names 1

• Healing Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paul J Kim, PHARM D

  • Pharmacist
  • Philadelphia, PA
  • NPI 1205422524
  NPD Authorized official
• Kris Hunsicker, PHARMD

  • Pharmacist
  • Philadelphia, PA
  • NPI 1023354248
  NPD

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

{
    "created_epoch": "1310860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426032000000",
    "number": "1760770382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 W CHELTEN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191443301",
            "telephone_number": "267-297-6482",
            "fax_number": "267-297-6423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W CHELTEN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191443301",
            "telephone_number": "267-297-6482",
            "fax_number": "267-297-6423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM PHARMACEUTICALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-17",
        "last_updated": "2015-03-11",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "215-740-0572"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP482185",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1026763310001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2132995",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healing Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heather Lee Kilroy, MA, LPC
• Kim Chiropractic & Rehab Center
• Kim DO Inc (M R Pharmacy)
• Kim May, MDPC
• Kim Meredith
• Kim Seungweon Chiropractic
• Kim-Park Funeral Home and Cremation Services Inc
• Adrienne Suemin Kim, DMD
• Agnes Hyoju Kim, MD
• Albert H Kim, DMD

• Community/Retail Pharmacy in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.