Hansik Kim, PHARM.D BCPS BCCCP

Primary specialty

Critical Care PharmacistTaxonomy code 1835C0205X

License

PCT.0013126 Issued in CT

Practice address

55 Park St
New Haven, CT 06511-5474

Phone

(203) 688-4242

NPI assigned

Mar 19, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Jwa Services Inc

  • Long Term Care Pharmacy
  • Waterford, CT
  • NPI 1043969629
  NPD (past)
• Jwa Services Inc

  • Community/Retail Pharmacy
  • Waterford, CT
  • NPI 1124413158
  NPD (past)

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559174400000",
    "number": "1962961904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 BOSTON POST RD",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063852421",
            "telephone_number": "860-518-5294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 PARK ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065115474",
            "telephone_number": "203-688-4242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "365 Montauk Ave",
            "address_purpose": "LOCATION",
            "city": "New London",
            "state": "CT",
            "postal_code": "063204769",
            "country_code": "US",
            "telephone_number": "860-442-0711 x5247",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "92 Boston Post Rd",
            "address_purpose": "LOCATION",
            "city": "Waterford",
            "state": "CT",
            "postal_code": "063852421",
            "country_code": "US",
            "telephone_number": "860-865-1303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "HANSIK",
        "name_prefix": "Dr.",
        "credential": "PHARM.D BCPS BCCCP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-19",
        "last_updated": "2019-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "PCT.0013126",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "CT",
            "license": "PCT.0013126",
            "primary": false
        },
        {
            "code": "1835C0205X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Critical Care",
            "state": "CT",
            "license": "PCT.0013126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Kim Lovecchio
• Alexander Taehoon Kim, MD
• Chungsoo Kim, PHARMD, PHD
• Daniel E Kim, M.D.
• Donald Ho Kim, MD
• Hyejin Kim
• Isaac Y Kim, MD, PHD
• Jennifer Kim, MD-PHD
• Jihoon Kim, M.D.
• Jinsung Kim

• Critical Care Pharmacist in New Haven, CT
• Providers in New Haven, CT by specialty
• Critical Care Pharmacist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; 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.