Active NPI
Chae Yun Kim
- Pharmacist
- Tacoma, WA
National Provider Identifier
1851890180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60662690
- Practice address
- 1902 96TH St S
Tacoma, WA 98444-2808 - Phone
- (253) 507-7492
- NPI assigned
- Feb 1, 2018
- 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 | PH60662690 | WA | Primary |
Addresses
Primary practice location
1902 96TH St S
Tacoma, WA 98444-2808
Mailing address
10931 Park Ave S Apt B202
Tacoma, WA 98444-5761
Phone (907) 250-8852
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 |
|---|---|---|---|
| PH60662690 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakewood Pharmacy Inc | Past | 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.
-
- Community/Retail Pharmacy
- Tacoma, WA
- NPI 1104257666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517443200000",
"number": "1851890180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10931 PARK AVE S APT B202",
"city": "TACOMA",
"state": "WA",
"postal_code": "984445761",
"telephone_number": "907-250-8852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1902 96TH ST S",
"city": "TACOMA",
"state": "WA",
"postal_code": "984442808",
"telephone_number": "253-507-7492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "CHAE",
"middle_name": "YUN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-01",
"last_updated": "2018-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60662690",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.