Individual provider Active NPI

Steven Yongjin Kim, PHARM.D.

  • Pharmacist
  • Alhambra, CA
National Provider Identifier
1811101413
Registry record updated Apr 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
49310 Issued in CA
Practice address
2207 W Commonwealth Ave
Alhambra, CA 91803-1302
Phone
(626) 282-6954
NPI assigned
May 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC9699 CA
Pharmacist 183500000X 49310 CA Primary

Addresses

Primary practice location

2207 W Commonwealth Ave
Alhambra, CA 91803-1302

Mailing address

2207 W Commonwealth Ave
Alhambra, CA 91803-1302
Phone (626) 282-6954

Other practice location 1

3727 W 6th St
Ste 602
Los Angeles, CA 90020-5105
Phone (213) 388-7822

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

LicenseStateTypeSpecialty
49310CAMDGeneral Practice Dentistry
AC9699CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Key of Joy Physical Therapy & Key of Joy Medical Clinic Acupuncturist PastSince May 19, 2024 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.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588204800000",
    "number": "1811101413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2207 W COMMONWEALTH AVE",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918031302",
            "telephone_number": "626-282-6954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2207 W COMMONWEALTH AVE",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918031302",
            "telephone_number": "626-282-6954"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3727 W 6th St",
            "address_2": "Ste 602",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900205105",
            "country_code": "US",
            "telephone_number": "213-388-7822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "STEVEN",
        "middle_name": "YONGJIN",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC9699",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "49310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alhambra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2020; 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.