Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1396337655 Individual Practitioner Male Practitioner

Samuel Kim

Pharmacist • Ellensburg, WA

Professional Overview & Biography Verified Profile Summary

Samuel Kim is a registered healthcare professional specializing in Pharmacist in Ellensburg, WA. Practice services are available at 400 N RUBY ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

400 N Ruby St

Ellensburg, WA 98926

Telephone 5099625096
Associated Practice Facility / Clinic
🏢 Safeway Inc Facility NPI 1326084195

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Ellensburg, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 7.0 Yrs
Regional Practice Density
30 Specialists

Practicing in Ellensburg, WA (7956 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: 2022-07-11
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License WA PH61074268

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

3 Associated Practitioners
NPI 1427509918

Registered Pharmacist

NPI 1548560287

Doctor of Pharmacy (Pharm.D.)

NPI 1720388416

Pharmacist

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location July 11, 2022

Registered at 400 N RUBY ST, ELLENSBURG, WA 98926 (Tel: 5099625096)

📍
Updated Business Mailing Address July 11, 2022

Registered at 400 N RUBY ST, ELLENSBURG, WA 98926 (Tel: 5099625096)

NPI Profile Active February 08, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location February 08, 2021

Registered at 510 GRANT RD, EAST WENATCHEE, WA 988025473 (Tel: 5098840678)

📍
Updated Business Mailing Address February 08, 2021

Registered at 510 GRANT RD, EAST WENATCHEE, WA 988025473 (Tel: 5098840678)

👤
Provider Name / Credentials Updated February 08, 2021

Recorded as SAMUEL KIM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 08, 2021

Pharmacist (License #PH61074268 in WA)

🟢
Initial NPI Registration & Enumeration February 08, 2021

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: 1396337655
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 08, 2021
Last Update: July 11, 2022
Sole Proprietor: No

Mailing Address

400 N Ruby St

Ellensburg, WA 98926

Phone: 5099625096

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.