Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124738026 Individual Practitioner Female Practitioner

Chaewon Kim

Pharmacist • Revere, MA

Professional Overview & Biography Verified Profile Summary

Chaewon Kim is a registered healthcare professional specializing in Pharmacist in Revere, MA. Practice services are available at 467 BROADWAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

467 Broadway

Revere, MA 021513030

Telephone 7812898656
Associated Practice Facility / Clinic
🏢 Maxi Drug Inc Facility NPI 1659471084

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Revere, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.0 Yrs
Regional Practice Density
39 Specialists

Practicing in Revere, MA (6023 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: 2022-12-01
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License MA PH241248

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

4 Associated Practitioners
NPI 1023337748

Registered Pharmacist

NPI 1164134821

Doctor of Pharmacy (Pharm.D.), Registered Pharmacist

NPI 1487030698

Doctor of Pharmacy (Pharm.D.)

NPI 1811546583

Doctor of Pharmacy (Pharm.D.), Registered Pharmacist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 01, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location December 01, 2022

Registered at 467 BROADWAY, REVERE, MA 021513030 (Tel: 7812898656)

📍
Updated Business Mailing Address December 01, 2022

Registered at 1 LONGFELLOW PL APT 2118, BOSTON, MA 021142419 (Tel: 8572021280)

👤
Provider Name / Credentials Updated December 01, 2022

Recorded as CHAEWON KIM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 01, 2022

Pharmacist (License #PH241248 in MA)

🟢
Initial NPI Registration & Enumeration December 01, 2022

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: 1124738026
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 01, 2022
Last Update: December 01, 2022
Sole Proprietor: No

Mailing Address

1 Longfellow Pl Apt 2118

Boston, MA 021142419

Phone: 8572021280

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.