Active NPI
Michele Kim
- Pharmacist
- Brookhaven, GA
National Provider Identifier
1992308498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH029251
- Practice address
- 2910 Buford Hwy NE
Brookhaven, GA 30329-1802 - Phone
- (404) 325-2735
- NPI assigned
- Nov 17, 2020
- 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 | RPH029251 | GA | Primary |
Addresses
Primary practice location
2910 Buford Hwy NE
Brookhaven, GA 30329-1802
Mailing address
969 Allen Lake Path
Suwanee, GA 30024-4173
Phone (404) 610-7542
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 |
|---|---|---|---|
| RPH029251 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605571200000",
"number": "1992308498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "969 ALLEN LAKE PATH",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300244173",
"telephone_number": "404-610-7542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2910 BUFORD HWY NE",
"city": "BROOKHAVEN",
"state": "GA",
"postal_code": "303291802",
"telephone_number": "404-325-2735"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "MICHELE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-17",
"last_updated": "2020-11-17",
"certification_date": "2020-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH029251",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookhaven, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.