Lisa Kim

Primary specialty

PharmacistTaxonomy code 183500000X

License

2014026334 Issued in MO

Practice address

6733 Clayton Rd
Richmond Heights, MO 63117-1603

Phone

(312) 363-8932

NPI assigned

Sep 29, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1411948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411948800000",
    "number": "1861895302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12445 GLENMEADE CT APT J",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630433688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6733 CLAYTON RD",
            "city": "RICHMOND HEIGHTS",
            "state": "MO",
            "postal_code": "631171603",
            "telephone_number": "312-363-8932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "LISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-29",
        "last_updated": "2014-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2014026334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Luke Kanallakan, CRNA
• Haruka Kawata, MA, LPC, ATR
• Cynthia M Kempf, MA, OTR/L
• Tina Kern, RN
• Ayooluwa Kerrigan, DO
• Jacob Kirtley
• Jonathan Kline, DC
• Abigail Renee Knuckles
• Benjamin Lawrence Kober, D.O.
• Julia Ann Kolinski, P.T.

• Pharmacist in Richmond Heights, MO
• Providers in Richmond Heights, MO by specialty
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2014; 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.