1. Home
  2. Directory
  3. Washington
  4. Walla Walla
  5. Pharmacist
  6. NPI Profile

YOUNGTAE KIM PHARMD, MBA
NPI 1609374867
Pharmacist - Pharmacotherapy in Walla Walla, WA

Active since January 23, 2018
401 W POPLAR ST, WALLA WALLA, WA 99362(503) 519-4302 Get Directions Write a Review

NPPES record last updated: January 23, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Youngtae Kim Pharmd, Mba NPPES

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

YOUNGTAE KIM PHARMD, MBA (NPI 1609374867) is an individual pharmacotherapy provider in Walla Walla, Washington, licensed in Washington (PH60781611) and active in the NPI registry since January 2018.

NPPES Registry Identity

NPI1609374867
Entity TypeIndividualMale
Primary Taxonomy1835P1200X
Provider Legal NameYOUNGTAE KIMCredential: PHARMD, MBA
Location Address401 W POPLAR STWalla Walla, WA 99362-2846
Mailing Address187 Nw Maria St Unit 1College Place, WA 99324-2152
Phone(503) 519-4302
Sole ProprietorNo
Enumeration DateJanuary 23, 2018
✔ NPI 1609374867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · PharmacotherapyPharmacy Service Providers
Taxonomy Code1835P1200X
License✔ Licensed in WA · PH60781611
Definition
A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy.
401 W POPLAR ST, Walla Walla, WA 99362
Open in Google Maps ↗

Other Identifiers 1

OtherPH60781611WA · Phamacist License

Other Providers at the Same Location NPPES 20

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

PATRICK R SMART ARNP
Nurse Practitioner
401 W POPLAR ST, SLEEP MEDICINE CENTER
WALLA WALLA, WA 99362
Walla Walla County (509) 522-5946
JENNIFER SIMPSON
Registered Nurse
401 W POPLAR ST
WALLA WALLA, WA 99362
Walla Walla County (817) 933-1868
JAMES WILLIAM ROSSMAN MD
Anesthesiology
401 W POPLAR ST
WALLA WALLA, WA 99362
Walla Walla County (509) 897-2002
DR. ROBERT JOHN BRAWDERS PHARMD
Pharmacist
401 W POPLAR ST
WALLA WALLA, WA 99362
Walla Walla County (509) 897-2055
KRISTA NEUENDORFF OTR/L
Occupational Therapist
401 W POPLAR ST
WALLA WALLA, WA 99362
Walla Walla County (509) 897-5022
NORA KEOUGH COTA/L
Occupational Therapy Assistant
401 W POPLAR ST, REBAB SERVICE
WALLA WALLA, WA 99362
Walla Walla County (509) 897-2100
DR. PHILIP A GREEN MD
Emergency Medicine
401 W POPLAR ST, PSMMC ER
WALLA WALLA, WA 99362
Walla Walla County (509) 522-5802
DENNIS DUMOT
Pharmacist
401 W POPLAR ST
WALLA WALLA, WA 99362
Walla Walla County (509) 897-3320

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 Youngtae Kim's NPI number?

The NPI number for Youngtae Kim is 1609374867. It was assigned to this individual provider in the NPPES registry on January 23, 2018.

Where is Youngtae Kim located?

Youngtae Kim practices at 401 W Poplar St, Walla Walla, WA 99362. The listed phone number is (503) 519-4302.

What is Youngtae Kim's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacotherapy, with taxonomy code 1835P1200X.

When was this NPI record last updated?

The NPPES record for Youngtae Kim was last updated on January 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.