Active NPI
Danielle Ailey Kim, PHARMD
- Pharmacist
- Rowland Heights, CA
National Provider Identifier
1861885378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH68995
- Practice address
- 18339 Colima Rd Ste a
Rowland Heights, CA 91748-2792 - Phone
- (626) 810-1056
- Fax
- (626) 810-4470
- NPI assigned
- Mar 8, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH27632 | MA | |
| Pharmacist | 183500000X | RPH68995 | CA | Primary |
Addresses
Primary practice location
18339 Colima Rd Ste a
Rowland Heights, CA 91748-2792
Mailing address
632 Warne St
La Habra, CA 90631-4062
Phone (714) 392-1004
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 |
|---|---|---|---|
| RPH68995 | CA | MD | Pharmacist |
| PH27632 | MA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grace Health Inc | Current | Accepting new patients |
Locations
18339 Colima Rd
Ste A
Rowland Heights, CA 91748
Phone (626) 810-1056
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
- Rowland Heights, CA
- NPI 1427337179
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425772800000",
"number": "1861885378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "632 WARNE ST",
"city": "LA HABRA",
"state": "CA",
"postal_code": "906314062",
"telephone_number": "714-392-1004",
"fax_number": "626-810-4470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18339 COLIMA RD STE A",
"city": "ROWLAND HEIGHTS",
"state": "CA",
"postal_code": "917482792",
"telephone_number": "626-810-1056",
"fax_number": "626-810-4470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "DANIELLE",
"middle_name": "AILEY",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-03-08",
"last_updated": "2015-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH27632",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH68995",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rowland Heights, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.