CHAEWON KIM
NPI 1124738026
Pharmacist in Revere, MA

Active since December 01, 2022
467 BROADWAY, REVERE, MA 02151(781) 289-8656 Get Directions Write a Review

NPPES record last updated: December 1, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Chaewon Kim NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHAEWON KIM (NPI 1124738026) is an individual pharmacist in Revere, Massachusetts, licensed in Massachusetts (PH241248) and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1124738026
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameCHAEWON KIM
Location Address467 BROADWAYRevere, MA 02151-3030
Mailing Address1 Longfellow Pl Apt 2118Boston, MA 02114-2419 · (857) 202-1280
Sole ProprietorNo
Enumeration DateDecember 1, 2022
NPPES CertifiedDecember 1, 2022
NPI 1124738026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in MA · PH241248
Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

467 BROADWAY, Revere, MA 02151

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy (Community/Retail Pharmacy)
467 BROADWAY
REVERE, MA 02151
Pharmacist
467 BROADWAY
REVERE, MA 02151
Pharmacist
467 BROADWAY
REVERE, MA 02151
Pharmacist
467 BROADWAY
REVERE, MA 02151
Pharmacist
467 BROADWAY
REVERE, MA 02151
Pharmacist
467 BROADWAY
REVERE, MA 02151
Pharmacy
467 BROADWAY
REVERE, MA 02151

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chaewon Kim's NPI number?

The NPI number for Chaewon Kim is 1124738026. It was assigned to this individual provider in the NPPES registry on December 1, 2022.

Where is Chaewon Kim located?

Chaewon Kim practices at 467 Broadway, Revere, MA 02151. The listed phone number is (781) 289-8656.

What is Chaewon Kim's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Chaewon Kim was last updated on December 1, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.