Active NPI
Hyeon Jin Kim
- Pharmacist
- Munster, IN
National Provider Identifier
1912354465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051.298724
- Practice address
- 716 Ridge Rd
Munster, IN 46321-1612 - Phone
- (219) 836-7978
- NPI assigned
- May 14, 2016
- Last updated
- May 14, 2016
- 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 | 051.298724 | IL | Primary |
| Pharmacist | 183500000X | 26026245A | IN |
Addresses
Primary practice location
716 Ridge Rd
Munster, IN 46321-1612
Mailing address
716 Ridge Rd
Munster, IN 46321-1612
Phone (219) 836-7978
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051.298724 | IL | MD | Pharmacist |
| 26026245A | IN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Partners LP | Past | Accepting new patients |
Interoperability endpoints
- hkim185923@ghc.direct-ci.net
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": "1463184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463184000000",
"number": "1912354465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "716 RIDGE RD",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463211612",
"telephone_number": "219-836-7978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "716 RIDGE RD",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463211612",
"telephone_number": "219-836-7978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "HYEON JIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-14",
"last_updated": "2016-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.298724",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26026245A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Munster, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.