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Youngsoo Kim

NPI 1700259694ActiveIndividual· Pharmacist· Centralia, WA

Pharmacist in Centralia, Washington, licensed in WA, with an NPI issued in November 2015. Part D covered 138 prescriptions written in 2024.

Overview

NPI1700259694
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedNov 2, 2015
Last updated in NPPESNov 2, 2015

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacist Primary183500000XPH60590982WA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 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)138 · 138 30-day fills
Patients118
Total drug cost$20,053

Medicare sources and data years

Other Pharmacist providers in Centralia

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