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Son Kim

NPI 1275892408ActiveIndividual· Pharmacist· Marrero, LA

Pharmacist in Marrero, Louisiana, licensed in LA, with an NPI issued in May 2012. Part D covered 54 prescriptions written in 2024, 0% of them generic.

Overview

NPI1275892408
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedMay 8, 2012
Last updated in NPPESMay 8, 2012

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacist Primary183500000X008058400LA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Part D prescriptions in 2024

Prescriptions (claims)54 · 54 30-day fills
Patients43
Total drug cost$10,401
Generic share0% of claims

Medicare sources and data years

Other Pharmacist providers in Marrero

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