Active NPI
Saemin Kim
- Pharmacist
- Rancho Santa Margarita, CA
National Provider Identifier
1760880546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH82172
- Practice address
- 22451 Antonio Pkwy
Rancho Santa Margarita, CA 92688-2813 - Phone
- (949) 858-0670
- NPI assigned
- Dec 10, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH82172 | CA | Primary |
| Pharmacist | 183500000X | S021055 | AZ |
Addresses
Primary practice location
22451 Antonio Pkwy
Rancho Santa Margarita, CA 92688-2813
Mailing address
22451 Antonio Pkwy
Rancho Santa Margarita, CA 92688-2813
Other practice location 1
101 Naco Rd
Bisbee, AZ 85603-9655
Phone (520) 432-2274
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S021055 | AZ | MD | Pharmacist |
| RPH82172 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safeway Inc | Past | Accepting new patients | |
| Vons Companies Inc | Past | Accepting new patients | |
| Safeway Inc | Past | Accepting new patients | |
| Vons Companies Inc | Past | Accepting new patients |
Organizations & group practices 4
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.
-
dba Pavilions Pharmacy #2217
- Community/Retail Pharmacy
- Rancho Santa Margarita, CA
- NPI 1659300689
-
dba Vons Pharmacy #0286
- Community/Retail Pharmacy
- Santa Monica, CA
- NPI 1720879919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609200000000",
"number": "1760880546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22451 ANTONIO PKWY",
"city": "RANCHO SANTA MARGARITA",
"state": "CA",
"postal_code": "926882813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22451 ANTONIO PKWY",
"city": "RANCHO SANTA MARGARITA",
"state": "CA",
"postal_code": "926882813",
"telephone_number": "949-858-0670"
}
],
"practiceLocations": [
{
"address_1": "101 Naco Rd",
"address_purpose": "LOCATION",
"city": "Bisbee",
"state": "AZ",
"postal_code": "856039655",
"country_code": "US",
"telephone_number": "520-432-2274",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "SAEMIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-12-10",
"last_updated": "2020-12-29",
"certification_date": "2020-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH82172",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S021055",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rancho Santa Margarita, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.