Yongdong Kim, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS0039689 Issued in FL

Practice address

2550 Pleasant Hill Rd Ste 126
Duluth, GA 30096-9278

Phone

(770) 622-0688

Fax

(770) 622-0689

NPI assigned

Oct 23, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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.

• Hyungwon Kang

  dba Corner Pharmacy

  • Community/Retail Pharmacy
  • Duluth, GA
  • NPI 1083690911
  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358208000000",
    "number": "1780767632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7940 GEORGETOWN CIR",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246623",
            "telephone_number": "770-688-9442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 PLEASANT HILL RD STE 126",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300969278",
            "telephone_number": "770-622-0688",
            "fax_number": "770-622-0689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "YONGDONG",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2013-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS0039689",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH025519",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sook J Kim, D.D.S.
• Sue Lee Kim, CNP
• Sun Chun Kim, DDS
• Sung H Kim
• Yejin Kim, M.D.
• Young D Kim, APRN
• Young-Tae Kim
• Kim's Acupuncture and Chiropractic (Yes Clinic)
• Kim's Eyeland Optical, Inc. (Eyeland Optical, Inc,)
• Zachary Kimbler

• Pharmacist in Duluth, GA
• Providers in Duluth, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; 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.