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Dr. David Kim , PharmD, BCACP

Pharmacist β€’ Olympia, WA

Active NPI 1366906752 Individual Practitioner Male Practitioner
Practice location in NPPES

413 Lilly Rd Ne
Olympia, WA 985065133

Call 3604919480 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

413 Lilly Rd Ne

Olympia, WA 985065133

Telephone 3604919480
Organization at the Same NPPES Address or Phone
Credena Health Llc Facility NPI 1487696787

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

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Centralia, WA. 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.

NPI first issued

2019

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 Olympia and Washington

170 active clinicians are listed under Pharmacist with a practice address in Olympia, WA (7,786 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Olympia

0% of these 170 clinicians have the CMS telehealth indicator.

0% of these 170 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: 2025-09-08
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

License # reported to NPPES WA PH60971675

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.

Pharmacist - Ambulatory Care

NUCC Taxonomy Code: 1835P2201X

License # reported to NPPES WA PH60971675

A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community.

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: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Driverlicense
WDL17SB2643B (WA)

Secondary Practice Locations

914 S Scheuber Rd

Centralia, WA 985319027

Phone: 3607362803

Clinicians Sharing This Practice Address or Phone

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

35 listed
NPI 1306810700

Doctor of Medicine (M.D.)

Dr. Fredrick An , DO

Internal Medicine

NPI 1194991901

Doctor of Osteopathic Medicine (D.O.)

Dr. Arin Braseth , MD

Emergency Medicine

NPI 1245287499

Doctor of Medicine (M.D.)

Dr. Sundar Cherukuri , DO

Internal Medicine

NPI 1427511849

Doctor of Osteopathic Medicine (D.O.)

Dr. Anders Conway , MD

Emergency Medicine

NPI 1659802320

Doctor of Medicine (M.D.)

NPI 1841402104

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

10 Historical Events
πŸ“
Updated Practice Location September 08, 2025

Registered at 413 LILLY RD NE, OLYMPIA, WA 985065133 (Tel: 3604919480)

πŸ“
Updated Business Mailing Address September 08, 2025

Registered at 413 LILLY RD NE, OLYMPIA, WA 985065133

πŸ‘€
Provider Name / Credentials Updated September 08, 2025

Recorded as DAVID KIM, PHARMD, BCACP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 08, 2025

Pharmacist (license number reported to NPPES: WA PH60971675)

βœ…
NPI Profile Active January 30, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 30, 2019

Registered at 201 W CENTER ST, ROCHESTER, MN 559023003 (Tel: 5072842511)

πŸ“
Business Mailing Address (Initial Record) January 30, 2019

Registered at 201 W CENTER ST, ROCHESTER, MN 559023003

πŸ‘€
Provider Name / Credentials (Initial Record) January 30, 2019

Recorded as DAVID KIM, PHARMD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 30, 2019

Pharmacist (license number reported to NPPES: MN 124070)

🟒
Initial NPI Registration & Enumeration January 30, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1366906752
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 30, 2019
Last Update: September 08, 2025
Sole Proprietor: Yes

Other Pharmacists in Olympia

All Pharmacists in Olympia

Mailing Address

413 Lilly Rd Ne

Olympia, WA 985065133

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.