Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1609374867 Individual Practitioner Male Practitioner

Dr. Youngtae Kim , PharmD, MBA

Pharmacist - Pharmacotherapy • Walla Walla, WA

Professional Overview & Biography Verified Profile Summary

Dr. Youngtae Kim, PharmD, MBA is a registered healthcare professional specializing in Pharmacist - Pharmacotherapy in Walla Walla, WA. Practice services are available at 401 W POPLAR ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

401 W Poplar St

Walla Walla, WA 993622846

Telephone 5035194302
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist - Pharmacotherapy in Walla Walla, WA

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

Practicing in Walla Walla, WA (197 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 - Pharmacotherapy Primary Specialty

NUCC Taxonomy Code: 1835P1200X

State License WA PH60781611

A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Phamacist License
PH60781611 (WA)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Patrick Smart , ARNP

Nurse Practitioner

NPI 1003071176

Advanced Registered Nurse Practitioner

Jennifer Simpson

Registered Nurse

NPI 1023667714
NPI 1033645346

Doctor of Medicine (M.D.)

NPI 1043856578

Doctor of Pharmacy (Pharm.D.)

Krista Neuendorff , OTR, L

Occupational Therapist

NPI 1043998065

Occupational Therapist Registered, L

Nora Keough , COTA, L

Occupational Therapy Assistant

NPI 1073050803

Certified Occupational Therapy Assistant, L

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 23, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 23, 2018

Registered at 401 W POPLAR ST, WALLA WALLA, WA 993622846 (Tel: 5035194302)

📍
Updated Business Mailing Address January 23, 2018

Registered at 187 NW MARIA ST UNIT 1, COLLEGE PLACE, WA 993242152

👤
Provider Name / Credentials Updated January 23, 2018

Recorded as YOUNGTAE KIM, PHARMD, MBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 23, 2018

Pharmacist (License #PH60781611 in WA)

🟢
Initial NPI Registration & Enumeration January 23, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Youngtae Kim. Be the first to share your experience!

Sign in to leave a review for Dr. Youngtae Kim

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1609374867
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 23, 2018
Last Update: January 23, 2018
Sole Proprietor: No

Mailing Address

187 Nw Maria St Unit 1

College Place, WA 993242152

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.