Active NPI
Jung Geum Kim, RPH60115016
- Pharmacist
- Toppenish, WA
National Provider Identifier
1912382896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 60115016
- Practice address
- 711 W 1St Ave
Toppenish, WA 98948-1153 - Phone
- (509) 865-4700
- NPI assigned
- Jul 21, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | 60115016 | WA | Primary |
Addresses
Primary practice location
711 W 1St Ave
Toppenish, WA 98948-1153
Mailing address
711 W 1St Ave
Toppenish, WA 98948-1153
Phone (509) 865-4700
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 |
|---|---|---|---|
| 60115016 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safeway Inc | Past | Accepting new patients | |
| Safeway Inc | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437436800000",
"number": "1912382896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 W 1ST AVE",
"city": "TOPPENISH",
"state": "WA",
"postal_code": "989481153",
"telephone_number": "509-865-4700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 W 1ST AVE",
"city": "TOPPENISH",
"state": "WA",
"postal_code": "989481153",
"telephone_number": "509-865-4700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "JUNG GEUM",
"credential": "RPH60115016",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-21",
"last_updated": "2015-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "60115016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toppenish, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.