Active NPI
Joshua Kim
- Pharmacist
- West Linn, OR
National Provider Identifier
1982416582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH1001268
- Practice address
- 2706 Beacon Hill Dr
West Linn, OR 97068-5608 - Phone
- (971) 344-9643
- NPI assigned
- Jan 22, 2025
- Sex
- Male
- 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 | PH1001268 | MA | Primary |
Addresses
Primary practice location
2706 Beacon Hill Dr
West Linn, OR 97068-5608
Mailing address
2706 Beacon Hill Dr
West Linn, OR 97068-5608
Phone (971) 344-9643
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH1001268 | MA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738108800000",
"number": "1982416582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2706 BEACON HILL DR",
"city": "WEST LINN",
"state": "OR",
"postal_code": "970685608",
"telephone_number": "971-344-9643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2706 BEACON HILL DR",
"city": "WEST LINN",
"state": "OR",
"postal_code": "970685608",
"telephone_number": "971-344-9643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "JOSHUA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-01-22",
"last_updated": "2025-01-29",
"certification_date": "2025-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH1001268",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Linn, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.