Dr. Chan Woo Kim , PharmD
Pharmacist β’ Bronx, NY
111 E 210th St
Bronx, NY 104672401
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
Practice Location & Contact Primary Location
111 E 210th St
Bronx, NY 104672401
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Great Neck, NY. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
What Public CMS Data Show
Pharmacist: NPPES taxonomy is a reported classification, not proof of board certification.
NPI first issued
2011
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, βDoes your provider accept Medicare as full payment?β
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Compared with the same specialty in Bronx and New York
1,269 active clinicians are listed under Pharmacist with a practice address in Bronx, NY (23,170 in New York).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Bronx
0% of these 1,269 clinicians have the CMS telehealth indicator.
0% of these 1,269 clinicians are listed by CMS as accepting Medicare assignment.
Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo Β· Report an error.
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2022-10-12NUCC Taxonomy Code: 183500000X
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Secondary Practice Locations
1 Gussack Plaza Center
Great Neck, NY 11021
Phone: 5168293300
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Family Medicine
Doctor of Medicine (M.D.)
Student in an Organized Health Care Education/Training Program
Internal Medicine
Doctor of Medicine (M.D.)
Student in an Organized Health Care Education/Training Program
Doctor of Dental Surgery
Urology
Doctor of Medicine (M.D.)
Student in an Organized Health Care Education/Training Program
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 111 E 210TH ST, BRONX, NY 104672401 (Tel: 7189204934)
Registered at 111 E 210TH ST, BRONX, NY 104672401 (Tel: 7189204934)
Additional practice office at 1 GUSSACK PLAZA CENTER, GREAT NECK, NY 11021
NPI status registered as active in NPPES database
Registered at 1 GUSSACK PLAZA CENTER, GREAT NECK, NY 11021 (Tel: 5168293300)
Registered at 1 LINCOLN GATE, PLAINVIEW, NY 118035307 (Tel: 5164330037)
Recorded as CHAN KIM, PHARM.D.
Pharmacist (license number reported to NPPES: NY 055971)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Pharmacists in Bronx
- Dr. Annaliza Ashitey, PharmD
- Dr. Timothy Stock, PharmD
- Prisca Fowung, RPH
- Dr. Waleed Khan, PharmD
- Shawn Koshy, RPH
- Dacia Grant, RPH
Mailing Address
111 E 210th St
Bronx, NY 104672401
Phone: 7189204934