Active NPIIndividual providerSole proprietor

Chanwook Kim, PHARMD

Pharmacist in Trumbull, Connecticut

NPI Number1063721108
Practice location
3321 Avalon Gates, Trumbull, CT 06611-5809
Fax
—
Last updated
October 6, 2010

Chanwook Kim is a Pharmacist based in Trumbull, CT. Chanwook Kim practices in Trumbull, CT and has the professional credentials of PHARMD. The NPI Number for Chanwook Kim is 1063721108 and holds a License No. 054690 (NY). The current practice location address for Chanwook Kim is 3321 Avalon Gates, Trumbull, CT 06611-5809 and can be reached out via phone at 516-384-1142.

Provider Profile Details

NPI Number
1063721108
Provider Name
Chanwook Kim
Credential
PHARMD
Provider Entity Type
Individual
Gender
Male
Address
3321 Avalon Gates, Trumbull, CT 06611-5809
Phone Number
516-384-1142
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
Yes
Provider Enumeration Date
October 6, 2010
Last Update Date
October 6, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
3321 Avalon Gates
Trumbull, CT 06611-5809
Zip
06611-5809
Phone Number
516-384-1142
Trumbull, CT 06611Get directions →

Provider Business Mailing Address Details

Address
3321 Avalon Gates
Trumbull, CT 06611-5809
City
Trumbull
State
CT
Zip
06611-5809

License Information

License Number
054690
License State
NY
Taxonomy
Pharmacist · 183500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Chanwook Kim, PHARMD?

The NPI number of Chanwook Kim, PHARMD is 1063721108. It was assigned on October 6, 2010 and is currently active in the NPPES registry.

What is the specialty of Chanwook Kim, PHARMD?

Chanwook Kim, PHARMD is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in NY under license number 054690.

Where does Chanwook Kim, PHARMD practice?

The practice location is 3321 Avalon Gates, Trumbull, CT 06611-5809. The office can be reached at 516-384-1142 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063721108 directly on the NPPES registry website.

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