Active NPI
Hanbyul Kim
- Pharmacist
- Mechanicsville, MD
National Provider Identifier
1962093591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 23657
- Practice address
- 28948 Three Notch Rd
Mechanicsville, MD 20659-9998 - Phone
- (301) 290-5668
- NPI assigned
- Jan 27, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 23657 | MD | Primary |
Addresses
Primary practice location
28948 Three Notch Rd
Mechanicsville, MD 20659-9998
Mailing address
28948 Three Notch Rd
Mechanicsville, MD 20659-9998
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maryland CVS Pharmacy LLC. | Current | Accepting new patients | |
| Maryland CVS Pharmacy, L.L.C. | Past | Accepting new patients |
Locations
28948 Three Notch Rd
Mechanicsville, MD 20659
Phone (301) 290-5568
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.
-
- Pharmacy
- Mechanicsville, MD
- NPI 1003972373
-
- Pharmacy
- Gaithersburg, MD
- NPI 1669100285
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611705600000",
"number": "1962093591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28948 THREE NOTCH RD",
"city": "MECHANICSVILLE",
"state": "MD",
"postal_code": "206599998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28948 THREE NOTCH RD",
"city": "MECHANICSVILLE",
"state": "MD",
"postal_code": "206599998",
"telephone_number": "301-290-5668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "HANBYUL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-27",
"last_updated": "2021-01-27",
"certification_date": "2021-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "23657",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mechanicsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.