Jack Kim
Pharmacist · Maplewood, MN
Practice location
100 County Road B WMaplewood, MN 55117-1931
- Phone
- (608) 772-8773
NPI record
- NPI
- 1770264103
- Entity type
- Individual (Type 1)
- Enumeration date
- July 27, 2023
- Last updated
- August 28, 2024
- Certified
- August 28, 2024
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist Primary | 183500000X |
126132 | MN |
| Pharmacist | 183500000X |
PH-4988 | HI |
| Pharmacist | 183500000X |
22263 | WI |
About Jack Kim
Jack Kim is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 100 County Road B W, Maplewood, MN 55117-1931. The NPI number 1770264103 was assigned on July 27, 2023 and the record was last updated on August 28, 2024.
Jack Kim lists 3 licenses in the registry: #126132 (MN) for Pharmacist; #PH-4988 (HI) for Pharmacist; #22263 (WI) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Jack Kim?
The NPI number is 1770264103.
What is the phone number of Jack Kim?
The phone number listed for the practice location is (608) 772-8773.
Where is Jack Kim located?
100 County Road B W, Maplewood, MN 55117-1931.
What is the taxonomy code for Jack Kim?
The primary taxonomy code is 183500000X – Pharmacist; 2 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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