Provider Demographics
NPI:1114811171
Name:KIM, DONGHWEE TONY (PHARMD)
Entity type:Individual
Prefix:
First Name:DONGHWEE
Middle Name:TONY
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 1:5 PENN CTR W
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15276-0120
Mailing Address - Country:US
Mailing Address - Phone:866-984-5910
Mailing Address - Fax:
Practice Address - Street 1:5 PENN CTR W
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15276-0120
Practice Address - Country:US
Practice Address - Phone:866-984-5910
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-04
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID3571778183500000X
PARP459320183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist