IndividualActive
Shannon Kim
NPI 1710556410 · Pharmacist · Glendale, NY
Shannon Kim is a Pharmacist provider in Glendale, NY (NPI 1710556410).
Provider details
- NPI number
- 1710556410
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 064616 (NY)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6802 Myrtle Ave
Glendale, NY 11385-7235
Phone: (718) 456-1180
Street-level locationGet directions
Mailing address
3 Lynhaven Pl
South Setauket, NY 11720-1213
Registry dates
- Enumerated
- 2021-06-18
- Last updated
- 2021-06-18
- Certified
- 2021-06-18
Frequently asked questions
- What is Shannon Kim's NPI number?
- Shannon Kim's National Provider Identifier (NPI) is 1710556410, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shannon Kim's specialty?
- Shannon Kim is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Shannon Kim located?
- Shannon Kim's practice location on file with NPPES is 6802 Myrtle Ave, Glendale, NY 11385-7235.
- What is Shannon Kim's phone number?
- The practice phone number listed in the NPPES registry for Shannon Kim is (718) 456-1180.
- Is Shannon Kim's NPI active?
- Yes — Shannon Kim's NPI (1710556410) is active in the NPPES registry as of the last update on 2021-06-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.