1. Home
  2. Directory
  3. New York
  4. Deer Park
  5. Pharmacist
  6. NPI Profile

SHELLY KIM
NPI 1235412438
Pharmacist in Deer Park, NY

Active since September 23, 2011
1770 DEER PARK AVE, DEER PARK, NY 11729(631) 667-7023 Get Directions Write a Review

NPPES record last updated: September 23, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shelly Kim NPPES

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

SHELLY KIM (NPI 1235412438) is an individual pharmacist in Deer Park, New York, licensed in New York (056233) and active in the NPI registry since September 2011.

NPPES Registry Identity

NPI1235412438
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameSHELLY KIM
Location Address1770 DEER PARK AVEDeer Park, NY 11729-5203
Mailing Address1770 Deer Park AveDeer Park, NY 11729-5203
Phone(631) 667-7023
Sole ProprietorNo
Enumeration DateSeptember 23, 2011
✔ NPI 1235412438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in NY · 056233
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.
1770 DEER PARK AVE, Deer Park, NY 11729
Open in Google Maps ↗

Other Providers at the Same Location NPPES 11

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

MR. DONATO TRAMONTOZZI
Pharmacist
1770 DEER PARK AVE
DEER PARK, NY 11729
Suffolk County (631) 667-7023
WALGREEN CO
Pharmacy
1770 DEER PARK AVE
DEER PARK, NY 11729
Suffolk County (631) 667-7023
HAMMAD HAMEEDI RPH
Pharmacist
1770 DEER PARK AVE
DEER PARK, NY 11729
Suffolk County (631) 667-7023
CHRISTOPHER JOHN SORRENTINO RPH
Pharmacist
1770 DEER PARK AVE
DEER PARK, NY 11729
Suffolk County (631) 667-7023
MISS NISHA DESAI PHARMD
Pharmacist
1770 DEER PARK AVE
DEER PARK, NY 11729
Suffolk County (631) 667-7023
DR. MICHELLE ROSE ROMANO PHARM.D.
Pharmacist
1770 DEER PARK AVE
DEER PARK, NY 11729
Suffolk County (631) 667-7023
SAJEDA GHEEWALA
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1770 DEER PARK AVE
DEER PARK, NY 11729
Suffolk County (631) 667-7023
MATTHEW JOHN PORCARO
Pharmacist
1770 DEER PARK AVE
DEER PARK, NY 11729
Suffolk County (631) 667-7023

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 Shelly Kim's NPI number?

The NPI number for Shelly Kim is 1235412438. It was assigned to this individual provider in the NPPES registry on September 23, 2011.

Where is Shelly Kim located?

Shelly Kim practices at 1770 Deer Park Ave, Deer Park, NY 11729. The listed phone number is (631) 667-7023.

What is Shelly 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 Shelly Kim was last updated on September 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.