EUN TAE KIM REGISTEREDPHARMACIST
NPI 1568987139
Pharmacist in Palm Springs, CA

Active since August 04, 2017
111 S SUNRISE WAY, PALM SPRINGS, CA 92262(760) 327-9133 Get Directions Write a Review

NPPES record last updated: September 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 5, 2024, Jul 21, 2022, Mar 17, 2018 and 2 more (5 updates tracked since 2017).

About Eun Tae Kim Registeredpharmacist NPPES

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

EUN TAE KIM REGISTEREDPHARMACIST (NPI 1568987139) is an individual pharmacist in Palm Springs, California, licensed in California (76442) and active in the NPI registry since August 2017. He maintains a secondary practice location in La Mirada.

NPPES Registry Identity

NPI1568987139
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameEUN TAE KIMCredential: REGISTEREDPHARMACIST
Location Address111 S SUNRISE WAYPalm Springs, CA 92262-6736
Mailing Address3945 Whittier Blvd Rm 100Los Angeles, CA 90023-2440 · (323) 307-0470 · Fax (323) 307-0495
Sole ProprietorNo
Enumeration DateAugust 4, 2017
Last NPPES UpdateSeptember 5, 20245 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2024
NPI 1568987139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in CA · 76442
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.
111 S SUNRISE WAY, Palm Springs, CA 92262

Secondary Practice Location 1

Location 116233 Fieldcrest CtLA Mirada, CA 90638-6507 · Phone (714) 423-2397

Other Providers at the Same Location NPPES 3

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

Pharmacist
111 S SUNRISE WAY
PALM SPRINGS, CA 92262
Pharmacist
111 S SUNRISE WAY
PALM SPRINGS, CA 92262
Pharmacist
111 S SUNRISE WAY
PALM SPRINGS, CA 92262

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 Eun Tae Kim's NPI number?

The NPI number for Eun Tae Kim is 1568987139. It was assigned to this individual provider in the NPPES registry on August 4, 2017.

Where is Eun Tae Kim located?

Eun Tae Kim practices at 111 S Sunrise Way, Palm Springs, CA 92262. The listed phone number is (760) 327-9133.

What is Eun Tae 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 Eun Tae Kim was last updated on September 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.