Active NPI
Jungeun Joan Kim, R.PH.
- Pharmacist
- Washington, DC
National Provider Identifier
1982843389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH100000988
- Practice address
- 326 E Capitol St NE
Washington, DC 20003-3809 - Phone
- (202) 543-4400
- Fax
- (202) 547-1314
- NPI assigned
- Feb 10, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 16959 | MD | |
| Pharmacist | 183500000X | PH100000988 | DC | Primary |
Addresses
Primary practice location
326 E Capitol St NE
Washington, DC 20003-3809
Mailing address
326 E Capitol St NE
Washington, DC 20003-3809
Phone (202) 543-4400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PH100000988 | Other | DC | PHARMACIST LICENSE |
| 16959 | Other | MD | PHARMACIST LICENSE |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH100000988 | DC | MD | Pharmacist |
| 16959 | MD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grubbs Pharmacy of DC Inc | Current | Accepting new patients | |
| Grubbs Pharmacy of DC Inc | Current | Accepting new patients | |
| Ellicott City Pharmacy Inc | Past | Accepting new patients |
Locations
326 E Capitol St NE
Washington, DC 20003
Phone (202) 543-4400
Organizations & group practices 3
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
- Washington, DC
- NPI 1386649028
-
- Long Term Care Pharmacy
- Washington, DC
- NPI 1942866249
-
- Community/Retail Pharmacy
- Ellicott City, MD
- NPI 1497041768
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676246400000",
"number": "1982843389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "326 E CAPITOL ST NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200033809",
"telephone_number": "202-543-4400",
"fax_number": "202-547-1314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "326 E CAPITOL ST NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200033809",
"telephone_number": "202-543-4400",
"fax_number": "202-547-1314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "JUNGEUN",
"middle_name": "JOAN",
"name_prefix": "Mrs.",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-10",
"last_updated": "2023-02-13",
"certification_date": "2023-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "16959",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "DC",
"license": "PH100000988",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "PH100000988",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "16959",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.