Provider Demographics
NPI:1548543986
Name:KIM, ALEXANDER S (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:S
Last Name:KIM
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2283 LATHAM ST APT 16
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040-1662
Mailing Address - Country:US
Mailing Address - Phone:213-944-1371
Mailing Address - Fax:
Practice Address - Street 1:2425 GEARY BLVD
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-3358
Practice Address - Country:US
Practice Address - Phone:415-833-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-22
Last Update Date:2023-03-23
Deactivation Date:2019-11-06
Deactivation Code:
Reactivation Date:2023-03-21
Provider Licenses
StateLicense IDTaxonomies
MD26042183500000X
CA79691183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist