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Dale Kim

NPI 1538570304ActiveIndividual· Pharmacist· Champaign, IL

Pharmacist in Champaign, Illinois, licensed in IL, with an NPI issued in May 2014.

Overview

NPI1538570304
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedMay 15, 2014
Last updated in NPPESMay 15, 2014

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacist Primary183500000X051.295560IL

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

Medicare sources and data years

Other Pharmacist providers in Champaign

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