Active NPI
Heekyung Kim, RPH
- Pharmacist
- Seattle, WA
National Provider Identifier
1891270450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60867022
- Practice address
- 4025 Delridge Way SW
Seattle, WA 98106-9810 - Phone
- (206) 763-2626
- NPI assigned
- Sep 30, 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 | PH60867022 | WA | Primary |
Addresses
Primary practice location
4025 Delridge Way SW
Seattle, WA 98106-9810
Mailing address
14027 Lake City Way NE Apt E607
Seattle, WA 98125-3893
Phone (401) 447-3969
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PH60867022 | Other | WA | WASHINGTON STATE DEPARTMENT OF HEALTH |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH60867022 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538265600000",
"number": "1891270450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14027 LAKE CITY WAY NE APT E607",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981253893",
"telephone_number": "401-447-3969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4025 DELRIDGE WAY SW",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981069810",
"telephone_number": "206-763-2626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "HEEKYUNG",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-30",
"last_updated": "2018-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60867022",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WASHINGTON STATE DEPARTMENT OF HEALTH",
"identifier": "PH60867022",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.