Active NPI
Kimberly Lauren Han, PHARMD
- Pharmacist
- Colonia, NJ
National Provider Identifier
1891207247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI03892100
- Practice address
- 1303 Saint Georges Ave
Colonia, NJ 07067-3925 - Phone
- (732) 827-2904
- NPI assigned
- Oct 25, 2017
- Last updated
- Dec 20, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28R103892100 | NJ | |
| Pharmacist | 183500000X | 28RI03892100 | NJ | Primary |
Addresses
Primary practice location
1303 Saint Georges Ave
Colonia, NJ 07067-3925
Mailing address
1303 Saint Georges Ave
Colonia, NJ 07067-3925
Phone (732) 827-2904
Other practice location 1
810 Main St
Belmar, NJ 07719-2706
Phone (732) 280-1166
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 |
|---|---|---|---|
| 28R103892100 | NJ | MD | Pharmacist |
| 28RI03892100 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
1303 Saint Georges Ave
Colonia, NJ 07067
Phone (732) 827-2904
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": "1508889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671494400000",
"number": "1891207247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1303 SAINT GEORGES AVE",
"city": "COLONIA",
"state": "NJ",
"postal_code": "070673925",
"telephone_number": "732-827-2904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1303 SAINT GEORGES AVE",
"city": "COLONIA",
"state": "NJ",
"postal_code": "070673925",
"telephone_number": "732-827-2904"
}
],
"practiceLocations": [
{
"address_1": "810 Main St",
"address_purpose": "LOCATION",
"city": "Belmar",
"state": "NJ",
"postal_code": "077192706",
"country_code": "US",
"telephone_number": "732-280-1166",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAN",
"first_name": "KIMBERLY",
"middle_name": "LAUREN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-25",
"last_updated": "2022-12-20",
"certification_date": "2022-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28R103892100",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03892100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colonia, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.