Active NPI
Theodora Jihye Kim, PHARM.D.
- Pharmacist
- Los Angeles, CA
National Provider Identifier
1982053666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 74444
- Practice address
- 3500 W 6TH St Ste 120
Los Angeles, CA 90020-5801 - Phone
- (213) 739-3030
- Fax
- (213) 739-3033
- NPI assigned
- Jun 3, 2016
- 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 | 74444 | CA | Primary |
Addresses
Primary practice location
3500 W 6TH St Ste 120
Los Angeles, CA 90020-5801
Mailing address
3500 W 6TH St Ste 120
Los Angeles, CA 90020-5801
Phone (213) 739-3030
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TMC Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Retail Pharmacy
- Los Angeles, CA
- NPI 1972748507
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464912000000",
"number": "1982053666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 W 6TH ST STE 120",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900205801",
"telephone_number": "213-739-3030",
"fax_number": "213-739-3033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 W 6TH ST STE 120",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900205801",
"telephone_number": "213-739-3030",
"fax_number": "213-739-3033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "THEODORA",
"middle_name": "JIHYE",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-03",
"last_updated": "2016-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "74444",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.