Active NPI
Aletheia Kim
- Pharmacist
- Jacksonville, NC
National Provider Identifier
1841812682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 29361
- Practice address
- 3069 Richlands Hwy
Jacksonville, NC 28540-2976 - Phone
- (910) 219-0490
- NPI assigned
- May 14, 2020
- Last updated
- May 14, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 29361 | NC | Primary |
Addresses
Primary practice location
3069 Richlands Hwy
Jacksonville, NC 28540-2976
Mailing address
2015 Gum Branch Rd Apt 622
Jacksonville, NC 28540-4632
Phone (323) 334-5221
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29361 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
3069 Richlands Hwy
Jacksonville, NC 28540
Phone (910) 219-0490
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589414400000",
"number": "1841812682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2015 GUM BRANCH RD APT 622",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285404632",
"telephone_number": "323-334-5221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3069 RICHLANDS HWY",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285402976",
"telephone_number": "910-219-0490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "ALETHEIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-14",
"last_updated": "2020-05-14",
"certification_date": "2020-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "29361",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.