Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1285982264 Individual Practitioner Female Practitioner

Ida Kim

Pharmacist • La Crescenta, CA

Professional Overview & Biography Verified Profile Summary

Ida Kim is a registered healthcare professional specializing in Pharmacist in La Crescenta, CA. Practice services are available at 2647 FOOTHILL BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2647 Foothill Blvd

La Crescenta, CA 912143511

Telephone 8182481016
Associated Practice Facility / Clinic
🏢 Thrifty Payless Inc Facility NPI 1114036589

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in La Crescenta, CA

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

Practicing in La Crescenta, 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

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License CA 53136

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

5 Associated Practitioners
NPI 1063979342

Doctor of Pharmacy (Pharm.D.)

NPI 1164743266

Registered Pharmacist

NPI 1265983803

Doctor of Pharmacy (Pharm.D.)

NPI 1396066437
NPI 1396177465

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 22, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location August 22, 2012

Registered at 2647 FOOTHILL BLVD, LA CRESCENTA, CA 912143511 (Tel: 8182481016)

📍
Updated Business Mailing Address August 22, 2012

Registered at 20828 VERCELLI WAY, PORTER RANCH, CA 913264310

👤
Provider Name / Credentials Updated August 22, 2012

Recorded as IDA KIM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 22, 2012

Pharmacist (License #53136 in CA)

🟢
Initial NPI Registration & Enumeration August 22, 2012

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: 1285982264
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 22, 2012
Last Update: August 22, 2012
Sole Proprietor: No

Mailing Address

20828 Vercelli Way

Porter Ranch, CA 913264310

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.