Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dan Daeyong Kim , RPH

Pharmacist β€’ Monroe, NY

Active NPI 1770769606 Individual Practitioner Male Practitioner
Practice location in NPPES

475 State Route 17m
Monroe, NY 109504169

Call 8457833101 Location details and other listings
Medical Disclaimer

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

Practice Address

475 State Route 17m

Monroe, NY 109504169

Telephone 8457833101
Fax 8457839604
Organization at the Same NPPES Address or Phone
The Stop & Shop Supermarket Company Llc Facility NPI 1407888365

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

30-day fills

21 standardized 30-day fills in 2013

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$445 in 2013

The total cost of these prescriptions in 2013, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2013.

NPI first issued

2008

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, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

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.

Guide: How Medicare covers telehealth

Compared with the same specialty in Monroe and New York

Billing and prescribing volume is not a quality rating.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Dan Kim are from 2013.

35 active clinicians are listed under Pharmacist with a practice address in Monroe, NY (22,966 in New York).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Monroe

0% of these 35 clinicians have the CMS telehealth indicator.

0% of these 35 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Part D Prescribers (2013), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2013.

CMS Part D Β· Data Year 2013
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Tamsulosin Hcl Tamsulosin Hcl 11 630 $445.29 β€”

Source: CMS Part D by Provider and Drug, 2013; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-01-27
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

License # reported to NPPES NY 045937

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New York Office of the Professions.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
01611494 (NY)

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

5 listed
Raquel Castillo-Rodriguez

Nurse Practitioner - Family

NPI 1902120280
Joseph Chavez Carey

Family Medicine

NPI 1366612863
Krystle Mabee , FNP

Nurse Practitioner - Family

NPI 1750755179

Family Nurse Practitioner

Dr. Lawrence Miller , OD

Optometrist - Low Vision Rehabilitation

NPI 1699732594

Doctor of Optometry

Dr. Kaushal Shah , MD

Internal Medicine

NPI 1659356715

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location January 27, 2023

Registered at 475 STATE ROUTE 17M, MONROE, NY 109504169 (Tel: 8457833101)

πŸ“
Updated Business Mailing Address January 27, 2023

Registered at 475 STATE ROUTE 17M, MONROE, NY 109504169 (Tel: 8457833101)

βœ…
NPI Profile Active January 10, 2008

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 10, 2008

Registered at 180 RT.52, 180 GLENEIDA AVE, CARMEL, NY 105121200 (Tel: 8452254134)

πŸ“
Business Mailing Address (Initial Record) January 10, 2008

Registered at 180 GLENEIDA AVE, CARMEL, NY 105120000 (Tel: 8452254134)

πŸ‘€
Provider Name / Credentials (Initial Record) January 10, 2008

Recorded as DAN KIM, RPH

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 10, 2008

Pharmacist (license number reported to NPPES: NY 045937)

🟒
Initial NPI Registration & Enumeration January 10, 2008

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1770769606
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 10, 2008
Last Update: January 27, 2023
Sole Proprietor: Yes

Mailing Address

475 State Route 17m

Monroe, NY 109504169

Phone: 8457833101

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.