Johnny Kim, PHARM.D
NPI 1780128637ActiveIndividual· Pharmacist· Northport, NY
Pharmacist (PHARM.D) in Northport, New York, licensed in NY and NJ, with an NPI issued in December 2016.
Overview
| NPI | 1780128637 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHARM.D |
| Sole proprietor | Yes |
| NPI issued | Dec 12, 2016 |
| Last updated in NPPES | Nov 10, 2025 |
| Certified by provider | Nov 10, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist Primary | 183500000X | 062513 | NY |
| Pharmacist | 183500000X | 28RI03820700 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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 pharmacists in Northport
- 1538265640
- 1174622484
- 1679425631
- 1184721359
- 1366161788
- 1205431277
- 1124127840
- 1932796455
- 1316698269
- 1780137331
- 1104703495
- 1770983256
All 78 pharmacists in Northport · All pharmacists in New York