Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1679800155 Individual Practitioner Male Practitioner

Chong Ki Kim , RPH

Pharmacist • Camillus, NY

Professional Overview & Biography Verified Profile Summary

Chong Ki Kim, RPH is a registered healthcare professional specializing in Pharmacist in Camillus, NY. Practice services are available at 5399 W GENESEE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5399 W Genesee St

Camillus, NY 130312265

Telephone 3154876714
Fax 3154870988
Associated Practice Facility / Clinic
🏢 Wal-Mart Stores East Lp Facility NPI 1962429035

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Camillus, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
27 Specialists

Practicing in Camillus, NY (23779 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 NY 42867

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

7 Associated Practitioners
NPI 1083893903

Registered Pharmacist

NPI 1184800153

Registered Pharmacist

NPI 1205243011

Doctor of Pharmacy (Pharm.D.)

NPI 1285945212
NPI 1376726638

Doctor of Pharmacy (Pharm.D.)

NPI 1598942369

Pharmacist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 04, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location November 04, 2009

Registered at 5399 W GENESEE ST, CAMILLUS, NY 130312265 (Tel: 3154876714)

📍
Updated Business Mailing Address November 04, 2009

Registered at 5147 BURNSIDE DR, JAMESVILLE, NY 130783711 (Tel: 3158822064)

👤
Provider Name / Credentials Updated November 04, 2009

Recorded as CHONG KI KIM, RPH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 04, 2009

Pharmacist (License #42867 in NY)

🟢
Initial NPI Registration & Enumeration November 04, 2009

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: 1679800155
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 04, 2009
Last Update: November 04, 2009
Sole Proprietor: No

Mailing Address

5147 Burnside Dr

Jamesville, NY 130783711

Phone: 3158822064

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.