Active NPI
Kyong Nam, RPH
- Pharmacist
- Flushing, NY
National Provider Identifier
1790008225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 043340
- Practice address
- 4030 Murray St
Flushing, NY 11354-4934 - Phone
- (917) 887-5195
- Fax
- (718) 886-5775
- NPI assigned
- Mar 11, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | 043340 | NY | Primary |
Addresses
Primary practice location
4030 Murray St
Flushing, NY 11354-4934
Mailing address
4030 Murray St
Flushing, NY 11354-4934
Phone (917) 887-5195
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 043340 | Other | NY | STATE LICENSE |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 043340 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morami Pharmacy, Inc | Pharmacist | Current | Accepting new patients |
Locations
14473 Northern Blvd
Flushing, NY 11354
Phone (718) 886-9100
4030 Murray St
Flushing, NY 11354
Phone (718) 886-9100
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694822400000",
"number": "1790008225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4030 MURRAY ST",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113544934",
"telephone_number": "917-887-5195",
"fax_number": "718-886-5775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4030 MURRAY ST",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113544934",
"telephone_number": "917-887-5195",
"fax_number": "718-886-5775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAM",
"first_name": "KYONG",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-11",
"last_updated": "2023-09-16",
"certification_date": "2023-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "043340",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "043340",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.