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Deactivated NPI 1346520673 Deactivated / Inactive NPI Female Practitioner

Dr. Sandra Kim , PharmD

Pharmacist • Carlsbad, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Sandra Kim has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 18, 2011
NPI Deactivation Date April 20, 2019
Total Practice Duration ~8 Years of Practice (2011 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Sandra Kim, PharmD was a registered Pharmacist practicing in Carlsbad, CA. Throughout an active medical career spanning 8 years, Dr. Kim provided care at the practice location at 7740 RANCHO SANTA FE RD until profile deactivation on 2019-04-20.

Practice Location & Contact Primary Location

Practice Address

7740 Rancho Santa Fe Rd

Carlsbad, CA 920098685

Telephone 7607535115
Associated Practice Facility / Clinic
🏢 Garfield Beach Cvs Llc Facility NPI 1598706400

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Carlsbad, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.8 Yrs
Regional Practice Density
95 Specialists

Practicing in Carlsbad, CA (33119 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-02-11
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License AZ S018659

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners
NPI 1023769239
NPI 1174996854

Doctor of Pharmacy (Pharm.D.)

Chau Tran

Pharmacist

NPI 1184115081
NPI 1194198085
NPI 1205363116

Doctor of Pharmacy (Pharm.D.)

Jennifer Noyes , FNP-C

Nurse Practitioner - Family

NPI 1205547239

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
📍
Updated Practice Location March 05, 2022

Registered at 7740 RANCHO SANTA FE RD, CARLSBAD, CA 920098685 (Tel: 7607535115)

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Updated Business Mailing Address March 05, 2022

Registered at 7740 RANCHO SANTA FE RD, CARLSBAD, CA 920098685 (Tel: 7607535115)

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Updated Practice Location January 27, 2021

Registered at 318 W EL NORTE PKWY, ESCONDIDO, CA 920261925 (Tel: 7604891505)

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Updated Business Mailing Address January 27, 2021

Registered at 11252 MORNING CREEK DR S, SAN DIEGO, CA 921284050 (Tel: 9494495166)

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Updated Practice Location February 11, 2020

Registered at 4315 W MCDOWELL RD, PHOENIX, AZ 850354201 (Tel: 6023520078)

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Updated Business Mailing Address February 11, 2020

Registered at 9680 W NORTHERN AVE, UNIT 1235, PEORIA, AZ 853454639

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Provider Name / Credentials Updated February 11, 2020

Recorded as SANDRA KIM, PHARM.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 11, 2020

Pharmacist (License #S018659 in AZ)

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NPI Profile Deactivated April 20, 2019

Record deactivated on April 20, 2019

NPI Profile Active August 18, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location August 18, 2011

Registered at 4315 W MCDOWELL RD, PHOENIX, AZ 850354201 (Tel: 6023520078)

📍
Updated Business Mailing Address August 18, 2011

Registered at 9680 W NORTHERN AVE, UNIT 1235, PEORIA, AZ 853454639

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Provider Name / Credentials Updated August 18, 2011

Recorded as SANDRA KIM, PHARM.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 18, 2011

Pharmacist (License #S018659 in AZ)

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Initial NPI Registration & Enumeration August 18, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1346520673
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 18, 2011
Last Update: March 05, 2022
Deactivation Date: April 20, 2019
Sole Proprietor: Yes

Mailing Address

7740 Rancho Santa Fe Rd

Carlsbad, CA 920098685

Phone: 7607535115

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.