Iris Kim

Primary specialty

PharmacistTaxonomy code 183500000X

License

123793 Issued in MN

Practice address

7901 Bass Lake Rd
New Hope, MN 55428-3105

Phone

(763) 257-0130

NPI assigned

Apr 19, 2020

Last updated

Apr 19, 2020By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1587254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587254400000",
    "number": "1982224036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8400 BASS LAKE RD APT 330",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554285347",
            "telephone_number": "516-672-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 BASS LAKE RD",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554283105",
            "telephone_number": "763-257-0130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "IRIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-19",
        "last_updated": "2020-04-19",
        "certification_date": "2020-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "123793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "call",
            "affiliation": "N",
            "address_1": "7901 Bass Lake Rd",
            "city": "New Hope",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554283105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amanda Kaiser, MA LMFT
• Steve Michael Kelley, RN
• Kristen Kellogg, OTR/L
• Kristen Kerkhoff, LICSW
• Eunjin Kim, OTR/L
• Katharina Kinch
• Kind Way Community Living Services LLC (Kind Way Homes)
• Kayla King
• Alyssa Kay Kintzinger, LMFT
• Klug Chiropractic LLC (At Ease Health and Wellness)

• Pharmacist in New Hope, MN
• Providers in New Hope, MN by specialty
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2020; 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.