Ellison Kyo-Jin Kim, RPH
NPI 1497538920ActiveIndividual· Pharmacist· Cambridge, MA
Pharmacist (RPH) in Cambridge, Massachusetts, licensed in MA, with an NPI issued in August 2023.
Overview
| NPI | 1497538920 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RPH |
| Sole proprietor | No |
| NPI issued | Aug 17, 2023 |
| Last updated in NPPES | Aug 17, 2023 |
| Certified by provider | Aug 17, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist Primary | 183500000X | PH241702 | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Pharmacist providers in Cambridge
- 1811216351
- 1841998853
- 1396669222
- 1770783524
- 1215210422
- 1184442238
- 1609545011
- 1629890504
- 1730595851
- 1689119802
- 1982372538
- 1316323959