NPIMap

Organization Active NPI

Joanna J Kim Pharmacist Inc

Doing business as Golden Pharmacy LTC

  • Long Term Care Pharmacy
  • Long Beach, CA
National Provider Identifier
1821812140
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
JOANNA J KIM PHARMACIST INC
Doing business as
Golden Pharmacy LTC
Practice address
1750 Pacific Ave Ste a
Long Beach, CA 90813-1715
Phone
(562) 599-5292
Fax
(562) 599-1893
NPI assigned
Nov 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Authorized official

Name
Joanna Jongae Kim, RPHNPI 1366058794
Title
Ceo
Phone
(562) 599-5292

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

1750 Pacific Ave Ste a
Long Beach, CA 90813-1715

Mailing address

1750 Pacific Ave Ste a
Long Beach, CA 90813-1715
Phone (562) 599-5292

Other names 1

  • Golden Pharmacy LTC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Aaa Golden Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1750 Pacific Ave
#A
Long Beach, CA 90813
Phone (562) 599-5292

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1731456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1821812140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 PACIFIC AVE STE A",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908131715",
            "telephone_number": "562-599-5292",
            "fax_number": "562-599-1893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 PACIFIC AVE STE A",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908131715",
            "telephone_number": "562-599-5292",
            "fax_number": "562-599-1893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOANNA J KIM PHARMACIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-13",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_middle_name": "JONGAE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-599-5292",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Pharmacy LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.