Active NPI
Eun Ae Kim
- Community/Retail Pharmacy
- Houston, TX
National Provider Identifier
1811199193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 16982
- Legal business name
- EUN AE KIM
- Practice address
- 6322 Airline Dr
Houston, TX 77076-3506 - Phone
- (713) 692-0971
- Fax
- (713) 697-5227
- NPI assigned
- May 31, 2007
- Last updated
- Jun 24, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eun Ae Kim, RPH
- Title
- Owner
- Phone
- (713) 692-0971
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 35619 | TX | |
| Community/Retail Pharmacy | 3336C0003X | 16982 | TX | Primary |
Addresses
Primary practice location
6322 Airline Dr
Houston, TX 77076-3506
Mailing address
6322 Airline Dr
Houston, TX 77076-3506
Phone (713) 692-0971
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 144417 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
6322 Airline Dr
Houston, TX 77076
Phone (713) 692-0971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214265600000",
"number": "1811199193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6322 AIRLINE DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770763506",
"telephone_number": "713-692-0971",
"fax_number": "713-697-5227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6322 AIRLINE DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770763506",
"telephone_number": "713-692-0971",
"fax_number": "713-697-5227"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EUN AE KIM",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-31",
"last_updated": "2008-06-24",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "EUN",
"authorized_official_middle_name": "AE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "713-692-0971",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "TX",
"license": "35619",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "TX",
"license": "16982",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "144417",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
- Eugenio a. Aguilar, III, M.D., P.a. (Ermosa Centre)
- Eulorace
- Eumana Home Dialysis Inc (Eumana Infuision Services)
- Eumana Home Dialysis Inc
- Eumana Home Dialysis, Inc.
- Eunique Hair Therapy LLC
- Euniversal Investment Group Inc (Euniversal EMS)
- Eunoia Wellness Counseling, PLLC
- Euphoria Health Services
- Euphoria Home Health Corporation (Euphoria Home Health)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.