Active NPI
Choon Kim, PHARM.D.
- Psychiatric Pharmacist
- Honolulu, HI
National Provider Identifier
1770850968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Pharmacist
- License
- PH2707
- Practice address
- 1121 S Beretania St
Honolulu, HI 96814-1621 - Phone
- (808) 593-0403
- NPI assigned
- Nov 16, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatric Pharmacist | 1835P1300X | PH2707 | HI | Primary |
| Oncology Pharmacist | 1835X0200X | PH2707 | HI |
Addresses
Primary practice location
1121 S Beretania St
Honolulu, HI 96814-1621
Mailing address
1121 S Beretania St
Honolulu, HI 96814-1621
Phone (808) 593-0403
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 |
|---|---|---|---|
| PH2707 | HI | MD | Oncology Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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.
-
- Pharmacy
- Honolulu, HI
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450915200000",
"number": "1770850968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1121 S BERETANIA ST",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968141621",
"telephone_number": "808-593-0403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1121 S BERETANIA ST",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968141621",
"telephone_number": "808-593-0403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "CHOON",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-11-16",
"last_updated": "2015-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1300X",
"taxonomy_group": "",
"desc": "Pharmacist, Psychiatric",
"state": "HI",
"license": "PH2707",
"primary": true
},
{
"code": "1835X0200X",
"taxonomy_group": "",
"desc": "Pharmacist, Oncology",
"state": "HI",
"license": "PH2707",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.