Active NPI
Yeree Kim, PHARMD
- Pharmacist
- West Hempstead, NY
National Provider Identifier
1790153575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 060839
- Practice address
- 490 Hempstead Ave
West Hempstead, NY 11552-2700 - Phone
- (516) 292-6161
- NPI assigned
- Sep 10, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 060839 | NY | Primary |
| Pharmacist | 183500000X | 23534 | MD | |
| Pharmacist | 183500000X | PCT.0013505 | CT |
Addresses
Primary practice location
490 Hempstead Ave
West Hempstead, NY 11552-2700
Mailing address
27 Udall Dr
Great Neck, NY 11020-1529
Phone (646) 339-1441
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 |
|---|---|---|---|
| PCT.0013505 | CT | MD | Pharmacist |
| 23534 | MD | MD | Pharmacist |
| 060839 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jgbla Inc | Pharmacist | Past | Accepting new patients |
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.
-
- Pharmacist
- West Hempstead, NY
- NPI 1083774434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441843200000",
"number": "1790153575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 UDALL DR",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110201529",
"telephone_number": "646-339-1441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "490 HEMPSTEAD AVE",
"city": "WEST HEMPSTEAD",
"state": "NY",
"postal_code": "115522700",
"telephone_number": "516-292-6161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "YEREE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-10",
"last_updated": "2015-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "060839",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "23534",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "PCT.0013505",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Hempstead, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.