NPIMap

Organization Active NPI

Kim Pharmacy #3

  • Pharmacy
  • Sacramento, CA
National Provider Identifier
1962762054
Registry record updated May 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
KIM PHARMACY #3
Practice address
5026 Fruitridge Rd
Suite 3
Sacramento, CA 95820-5302
Phone
(916) 399-0757
Fax
(916) 399-0758
NPI assigned
May 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. CHI Lieu Nguyen, PHARM.D.NPI 1053463653
Title
Pharmacist
Phone
(916) 399-0757

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

5026 Fruitridge Rd
Suite 3
Sacramento, CA 95820-5302

Mailing address

5026 Fruitridge Rd
Suite 3
Sacramento, CA 95820-5302
Phone (916) 399-0757

National Provider Directory

National Provider Directory

Locations

5026 Fruitridge Rd
Ste 3
Sacramento, CA 95820
Phone (916) 399-0757

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337644800000",
    "number": "1962762054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5026 FRUITRIDGE RD",
            "address_2": "SUITE 3",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958205302",
            "telephone_number": "916-399-0757",
            "fax_number": "916-399-0758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5026 FRUITRIDGE RD",
            "address_2": "SUITE 3",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958205302",
            "telephone_number": "916-399-0757",
            "fax_number": "916-399-0758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM PHARMACY #3",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-22",
        "last_updated": "2012-05-22",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "CHI",
        "authorized_official_middle_name": "LIEU",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "916-399-0757",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.

Verify at the official NPI Registry.