Active NPIIndividual providerSole proprietor

Ms. Jisook Kim

Pharmacist in Garfield, New Jersey

NPI Number1114195088
Practice location
59 Outwater Ln, Garfield, NJ 07026-3825
Fax
—
Last updated
February 13, 2008

Jisook Kim is a Pharmacist based in Garfield, NJ. Jisook Kim practices in Garfield, NJ. The NPI Number for Jisook Kim is 1114195088 and holds a License No. 28ri02899800 (NJ). The current practice location address for Jisook Kim is 59 Outwater Ln, Garfield, NJ 07026-3825 and can be reached out via phone at 973-253-0530.

Provider Profile Details

NPI Number
1114195088
Provider Name
Jisook Kim
Provider Entity Type
Individual
Gender
Female
Address
59 Outwater Ln, Garfield, NJ 07026-3825
Phone Number
973-253-0530
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
Yes
Provider Enumeration Date
February 13, 2008
Last Update Date
February 13, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
59 Outwater Ln
Garfield, NJ 07026-3825
Zip
07026-3825
Phone Number
973-253-0530
Garfield, NJ 07026Get directions →

Provider Business Mailing Address Details

Address
27 Elm Pl
Demarest, NJ 07627-2630
City
Demarest
State
NJ
Zip
07627-2630

License Information

License Number
28ri02899800
License State
NJ
Taxonomy
Pharmacist · 183500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Jisook Kim?

The NPI number of Ms. Jisook Kim is 1114195088. It was assigned on February 13, 2008 and is currently active in the NPPES registry.

What is the specialty of Ms. Jisook Kim?

Ms. Jisook Kim is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in NJ under license number 28ri02899800.

Where does Ms. Jisook Kim practice?

The practice location is 59 Outwater Ln, Garfield, NJ 07026-3825. The office can be reached at 973-253-0530 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114195088 directly on the NPPES registry website.

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