Active NPI
Sunghee Kim
- Pharmacist
- Flower Mound, TX
National Provider Identifier
1962003442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 39372
- Practice address
- 2900 Winding Path Way
Flower Mound, TX 75022-5361 - Phone
- (214) 277-2049
- NPI assigned
- Nov 3, 2020
- 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 | 39372 | TX | Primary |
Addresses
Primary practice location
2900 Winding Path Way
Flower Mound, TX 75022-5361
Mailing address
2900 Winding Path Way
Flower Mound, TX 75022-5361
Phone (214) 277-2049
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 |
|---|---|---|---|
| 39372 | TX | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604361600000",
"number": "1962003442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 WINDING PATH WAY",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750225361",
"telephone_number": "214-277-2049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 WINDING PATH WAY",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750225361",
"telephone_number": "214-277-2049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "SUNGHEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-03",
"last_updated": "2020-11-03",
"certification_date": "2020-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "39372",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flower Mound, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.