Heo Jung Kim, PHARM.D

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH60667548 Issued in WA

Practice address

101 Grand Coulee Hwy
Grand Coulee, WA 99133-5014

Phone

(509) 633-0463

NPI assigned

Aug 23, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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

Interoperability endpoints

• Direct secure messaging: heojung.kimpharmd.p1@direct.chc-tacoma.nextgenshare.com

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.

• Safeway Inc

  • Community/Retail Pharmacy
  • Grand Coulee, WA
  • NPI 1467481481
  NPD (past)
• Safeway Inc

  • Community/Retail Pharmacy
  • Queen Creek, AZ
  • NPI 1730040973
  NPD (past)

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

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471910400000",
    "number": "1982159547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 RIVER DR APT 23",
            "city": "COULEE DAM",
            "state": "WA",
            "postal_code": "991161150",
            "telephone_number": "503-515-2374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 GRAND COULEE HWY",
            "city": "GRAND COULEE",
            "state": "WA",
            "postal_code": "991335014",
            "telephone_number": "509-633-0463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "HEO JUNG",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-23",
        "last_updated": "2016-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60667548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Ruth Heaton, RD
• Kathleen Christine Henry, P.A.-C
• Hsien Sing Sam Hsieh, MB BCH BAO
• Wendy A Hughes, ARNP
• JG Pepperd DC PLLC
• Jaime Lynn King, OTR/L
• Richard M King, PT
• Cassandra Klakken Viramontes, ARNP
• Jennifer Knox, MD
• Kyle M. Gillespie, O.D., LTD.

• Pharmacist in Grand Coulee, WA
• Providers in Grand Coulee, WA by specialty
• Pharmacist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.

Verify at the official NPI Registry.