Active NPI
Shi Yoon Kim, PHARM. D
- Pharmacist
- Silver Spring, MD
National Provider Identifier
1821510363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 24978
- Practice address
- 11215 New Hampshire Ave # a
Silver Spring, MD 20904-2631 - Phone
- (301) 244-4491
- Fax
- (301) 244-4497
- NPI assigned
- Jul 15, 2017
- Sex
- Male
- Sole proprietor
- No
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 | 24978 | MD | Primary |
Addresses
Primary practice location
11215 New Hampshire Ave # a
Silver Spring, MD 20904-2631
Mailing address
11215 New Hampshire Ave # a
Silver Spring, MD 20904-2631
Phone (301) 244-4491
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 |
|---|---|---|---|
| 24978 | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1821510363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11215 NEW HAMPSHIRE AVE # A",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209042631",
"telephone_number": "301-244-4491",
"fax_number": "301-244-4497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11215 NEW HAMPSHIRE AVE # A",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209042631",
"telephone_number": "301-244-4491",
"fax_number": "301-244-4497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "SHI YOON",
"credential": "PHARM. D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-15",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "24978",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.