Individual provider Active NPI

Jungeun Joan Kim, R.PH.

  • Pharmacist
  • Washington, DC
National Provider Identifier
1982843389
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH100000988 Issued in DC
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

Updated by the provider on Feb 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PH100000988OtherDCPHARMACIST LICENSE
16959OtherMDPHARMACIST 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

LicenseStateTypeSpecialty
PH100000988DCMDPharmacist
16959MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.