Active NPI
Steve Kim, PHARM. D.
- Pharmacist
- Northridge, CA
National Provider Identifier
1780916924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 60898
- Practice address
- 17806 Lassen St
113
Northridge, CA 91325-4817 - Phone
- (213) 268-0556
- NPI assigned
- Feb 12, 2010
- 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 | 60898 | CA | Primary |
Addresses
Primary practice location
17806 Lassen St
113
Northridge, CA 91325-4817
Mailing address
17806 Lassen St
113
Northridge, CA 91325-4817
Phone (213) 268-0556
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 |
|---|---|---|---|
| 60898 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Simi Valley LTC LLC | Current | Accepting new patients | |
| K NZ Corp | Current | 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
- Chatsworth, CA
- NPI 1003245028
-
- Long Term Care Pharmacy
- Simi Valley, CA
- NPI 1235839374
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395187200000",
"number": "1780916924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17806 LASSEN ST",
"address_2": "113",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913254817",
"telephone_number": "213-268-0556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17806 LASSEN ST",
"address_2": "113",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913254817",
"telephone_number": "213-268-0556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "STEVE",
"credential": "PHARM. D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-12",
"last_updated": "2014-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "60898",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northridge, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.