Active NPI
Seong Mi Seo Kim, PHARM D
- Pharmacist
- Brooklyn, NY
National Provider Identifier
1902129703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 055354
- Practice address
- 524 Nostrand Ave
Brooklyn, NY 11216-2012 - Phone
- (718) 230-3009
- NPI assigned
- Mar 8, 2010
- Last updated
- Jul 23, 2019
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PCT.0010901 | CT | |
| Pharmacist | 183500000X | 28RI03098200 | NJ | |
| Pharmacist | 183500000X | PS37538 | FL | |
| Pharmacist | 183500000X | 055354 | NY | Primary |
Addresses
Primary practice location
524 Nostrand Ave
Brooklyn, NY 11216-2012
Mailing address
1835 Corporal Kennedy St Apt 1C
Bayside, NY 11360-1426
Phone (347) 954-5393
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 |
|---|---|---|---|
| PCT.0010901 | CT | MD | Pharmacist |
| PS37538 | FL | MD | Pharmacist |
| 28RI03098200 | NJ | MD | Pharmacist |
| 055354 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kims 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, 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": "1268006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563840000000",
"number": "1902129703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1835 CORPORAL KENNEDY ST APT 1C",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113601426",
"telephone_number": "347-954-5393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "524 NOSTRAND AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112162012",
"telephone_number": "718-230-3009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "SEONG MI",
"middle_name": "SEO",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-08",
"last_updated": "2019-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "PCT.0010901",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03098200",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS37538",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "055354",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.