Active NPI
David Hyun Woo Kim
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Sandy Springs, GA
National Provider Identifier
1922630839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 029979
- Practice address
- 227 Sandy Springs PL
Sandy Springs, GA 30328-5918 - Phone
- (404) 256-2779
- NPI assigned
- Feb 8, 2020
- Sex
- Male
- 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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 029979 | GA | Primary |
Addresses
Primary practice location
227 Sandy Springs PL
Sandy Springs, GA 30328-5918
Mailing address
227 Sandy Springs PL
Sandy Springs, GA 30328-5918
Phone (404) 256-2779
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 |
|---|---|---|---|
| 029979 | GA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Kroger Co | Past | Accepting new patients | |
| Kroger Co | 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, 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": "1581120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778198400000",
"number": "1922630839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "227 SANDY SPRINGS PL",
"city": "SANDY SPRINGS",
"state": "GA",
"postal_code": "303285918",
"telephone_number": "404-256-2779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "227 SANDY SPRINGS PL",
"city": "SANDY SPRINGS",
"state": "GA",
"postal_code": "303285918",
"telephone_number": "404-256-2779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "DAVID",
"middle_name": "HYUN WOO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-02-08",
"last_updated": "2026-05-08",
"certification_date": "2026-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "GA",
"license": "029979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sandy Springs, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.