Active NPI
Susie Kim, PHARMD
- Pharmacist
- Thousand Oaks, CA
National Provider Identifier
1942522123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH 51019
- Practice address
- 2570 Via Siena
Thousand Oaks, CA 91320-3882 - Phone
- (310) 210-4766
- NPI assigned
- Feb 16, 2010
- 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 | RPH 51019 | CA | Primary |
Addresses
Primary practice location
2570 Via Siena
Thousand Oaks, CA 91320-3882
Mailing address
2570 Via Siena
Thousand Oaks, CA 91320-3882
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 |
|---|---|---|---|
| RPH 51019 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336348800000",
"number": "1942522123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2570 VIA SIENA",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913203882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2570 VIA SIENA",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913203882",
"telephone_number": "310-210-4766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "SUSIE",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-02-16",
"last_updated": "2012-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH 51019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Thousand Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.