Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shannon Kim

Individual provider Pharmacist · NPI 1710556410

Shannon Kim is a Pharmacist in Glendale, New York. Licensed in New York. Registered with an NPI since 2021.

Licensed in
NY
In the registry since
2021
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Practice location Address checks out

6802 Myrtle Ave
Glendale, NY 11385-7235
Phone: (718) 456-1180
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 064616 (NY)

Record details

NPI number1710556410
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 18, 2021
Last updated in NPPESJune 18, 2021
Certification dateJune 18, 2021
Mailing address3 Lynhaven Pl, South Setauket, NY 11720-1213

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