Christopher J Kim
Individual provider Active NPI Pharmacist · Anchorage, AK
NPI 1780988006 · NPPES record last updated Dec 29, 2010
Key facts
- NPI
- 1780988006
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 1274 (AK)
- Practice address
- 1501 Huffman Rd
Anchorage, AK 99515-3596 - Phone
- (907) 339-1360
- Fax
- (907) 339-1319
- NPI assigned
- Dec 29, 2010
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1274 | AK | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 1274 | AK | Yes |
Addresses
Primary practice location
1501 Huffman Rd
Anchorage, AK 99515-3596
Mailing address
1501 Huffman Rd
Anchorage, AK 99515-3596
Phone (907) 339-1360
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 29, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.