Active NPI
Hyun Ju Kim
- Pharmacist
- North Wales, PA
National Provider Identifier
1992197495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP441176
- Practice address
- 710 N Wales Rd
North Wales, PA 19454-1725 - Phone
- (215) 412-8709
- NPI assigned
- Feb 20, 2015
- Sex
- Female
- Sole proprietor
- No
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 | RP441176 | PA | Primary |
Addresses
Primary practice location
710 N Wales Rd
North Wales, PA 19454-1725
Mailing address
710 N Wales Rd
North Wales, PA 19454-1725
Phone (215) 412-8709
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 |
|---|---|---|---|
| RP441176 | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424390400000",
"number": "1992197495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 N WALES RD",
"city": "NORTH WALES",
"state": "PA",
"postal_code": "194541725",
"telephone_number": "215-412-8709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 N WALES RD",
"city": "NORTH WALES",
"state": "PA",
"postal_code": "194541725",
"telephone_number": "215-412-8709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "HYUN JU",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-20",
"last_updated": "2015-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP441176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Wales, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.