YOUNGTAE KIM PHARMD MBA NPI 1609374867

NPI Information

NPI: 1609374867
Provider Name: YOUNGTAE KIM, PHARMD, MBA
Classification: Pharmacist - 1835P1200X
Entity Type: Individual

Specialization: Pharmacotherapy

Address:
401 W POPLAR ST
WALLA WALLA, WA
ZIP 99362
Phone: (503) 519-4302
Get Directions

Youngtae Kim, PHARMD, MBA is a pharmacotherapy pharmacist in Walla Walla, WA. The provider is 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. Youngtae Kim, PHARMD, MBA NPI is 1609374867. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

401 W POPLAR ST
WALLA WALLA, WA
ZIP 99362-846
Phone: (503) 519-4302

The enumeration date for this NPI number is 1/23/2018 and was last updated on 1/23/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1835P1200X	Pharmacist	Pharmacotherapy	PH60781611	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	PH60781611	OTHER	WASHINGTON	PHAMACIST LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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