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
- 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 and National Provider Directory roles.
-
- Pharmacy
- Flushing, NY
- NPI 1467960864
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.