Kyung Mo Kim, Rph
Pharmacist in Melrose Park, IL. Individual provider (NPI-1).
NPI number1003198672
StatusActive
Last updated in NPPESSep 9, 2011
Details
- NPI
- 1003198672
- Entity type
- Individual (NPI-1)
- Name
- Mr. Kyung Mo Kim
- Credential
- Rph
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 9, 2011
- Last updated
- Sep 9, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 051.040727 | IL | Yes |
Practice location
1445 W North AveMelrose Park, IL 60160-1413
Phone 708-345-6080
Mailing address
515 S Carol LnMount Prospect, IL 60056-3505
Phone 847-997-5475
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 30 Pharmacist providers in Melrose Park · All 889 providers in Melrose Park
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