- Practice location
- 467 Broadway, Revere, MA 02151-3030
- Phone
- 781-289-8656
- Fax
- —
- Last updated
- December 1, 2022
Chaewon Kim is a Pharmacist based in Revere, MA. Chaewon Kim practices in Revere, MA. The NPI Number for Chaewon Kim is 1124738026 and holds a License No. PH241248 (MA). The current practice location address for Chaewon Kim is 467 Broadway, Revere, MA 02151-3030 and can be reached out via phone at 781-289-8656.
Provider Profile Details
- NPI Number
- 1124738026
- Provider Name
- Chaewon Kim
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 467 Broadway, Revere, MA 02151-3030
- Phone Number
- 781-289-8656
- Primary Taxonomy
- Pharmacist · 183500000X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 1, 2022
- Last Update Date
- December 1, 2022
- Certification Date
- December 1, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 467 Broadway
Revere, MA 02151-3030 - City
- Revere
- State
- Massachusetts
- Zip
- 02151-3030
- Phone Number
- 781-289-8656
Provider Business Mailing Address Details
- Address
- 1 Longfellow Pl Apt 2118
Boston, MA 02114-2419 - City
- Boston
- State
- MA
- Zip
- 02114-2419
- Phone Number
- 857-202-1280
License Information
- License Number
- PH241248
- License State
- MA
- Taxonomy
- Pharmacist · 183500000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pharmacists near Revere, MA
View all Pharmacists in Revere →Frequently Asked Questions
What is the NPI number of Chaewon Kim?
The NPI number of Chaewon Kim is 1124738026. It was assigned on December 1, 2022 and is currently active in the NPPES registry.
What is the specialty of Chaewon Kim?
Chaewon Kim is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in MA under license number PH241248.
Where does Chaewon Kim practice?
The practice location is 467 Broadway, Revere, MA 02151-3030. The office can be reached at 781-289-8656 (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 1124738026 directly on the NPPES registry website.