Active NPI
Sun Ho Kim II
- Pharmacist
- Flushing, NY
National Provider Identifier
1982882817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0433102
- Practice address
- 3915 Main St
Flushing, NY 11354-5431 - Phone
- (718) 886-3212
- NPI assigned
- Feb 1, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0433102 | NY | Primary |
Addresses
Primary practice location
3915 Main St
Flushing, NY 11354-5431
Mailing address
16911 Crocheron Ave
Flushing, NY 11358-2210
Phone (718) 321-7761
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 |
|---|---|---|---|
| 0433102 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duane Reade | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pharmacy
- New York, NY
- NPI 1548914351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201824000000",
"number": "1982882817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16911 CROCHERON AVE",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113582210",
"telephone_number": "718-321-7761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3915 MAIN ST",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113545431",
"telephone_number": "718-886-3212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "SUN HO",
"name_suffix": "II",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-01",
"last_updated": "2008-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "0433102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.