Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1366906752 Individual Practitioner Male Practitioner

Dr. David Kim , PharmD, BCACP

Pharmacist • Olympia, WA

Professional Overview & Biography Verified Profile Summary

Dr. David Kim, PharmD, BCACP is a registered healthcare professional specializing in Pharmacist in Olympia, WA. Practice services are available at 413 LILLY RD NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

413 Lilly Rd Ne

Olympia, WA 985065133

Telephone 3604919480
Associated Practice Facility / Clinic
🏢 Credena Health Llc Facility NPI 1487696787

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Olympia, WA

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

Practicing in Olympia, 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: 2025-09-08
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License WA PH60971675

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.

Pharmacist - Ambulatory Care

NUCC Taxonomy Code: 1835P2201X

State License WA PH60971675

A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Driverlicense
WDL17SB2643B (WA)

Secondary Practice Locations

914 S Scheuber Rd

Centralia, WA 985319027

Phone: 3607362803

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Jeffrey Howard , MD

Emergency Medicine

NPI 1003857145

Doctor of Medicine (M.D.)

Raffy Jatamosa

Nurse Practitioner

NPI 1013542885
Amory Ballantine , LICSW

Social Worker - Clinical

NPI 1023748407

Licensed Independent Clinical Social Worker

Eileen Ravella , PA-C

Physician Assistant

NPI 1043237134

Physician Assistant (Certified)

Dr. Bruce Lincoln , MD

Emergency Medicine

NPI 1053357889

Doctor of Medicine (M.D.)

Wendy Kruse , ARNP

Nurse Practitioner - Family

NPI 1063188795

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location September 08, 2025

Registered at 413 LILLY RD NE, OLYMPIA, WA 985065133 (Tel: 3604919480)

📍
Updated Business Mailing Address September 08, 2025

Registered at 413 LILLY RD NE, OLYMPIA, WA 985065133

👤
Provider Name / Credentials Updated September 08, 2025

Recorded as DAVID KIM, PHARMD, BCACP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 08, 2025

Pharmacist (License #PH60971675 in WA)

NPI Profile Active January 30, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location January 30, 2019

Registered at 201 W CENTER ST, ROCHESTER, MN 559023003 (Tel: 5072842511)

📍
Updated Business Mailing Address January 30, 2019

Registered at 201 W CENTER ST, ROCHESTER, MN 559023003

👤
Provider Name / Credentials Updated January 30, 2019

Recorded as DAVID KIM, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 30, 2019

Pharmacist (License #124070 in MN)

🟢
Initial NPI Registration & Enumeration January 30, 2019

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: 1366906752
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 30, 2019
Last Update: September 08, 2025
Sole Proprietor: Yes

Mailing Address

413 Lilly Rd Ne

Olympia, WA 985065133

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.