Active NPIIndividual providerSole proprietor

Kwan Yung Kim

Pharmacist in Passaic, New Jersey

NPI Number1164993671
Practice location
919 Main Ave, Passaic, NJ 07055-8529
Fax
—
Last updated
December 10, 2018

Kwan Yung Kim is a Pharmacist based in Passaic, NJ. Kwan Yung Kim practices in Passaic, NJ. The NPI Number for Kwan Yung Kim is 1164993671 and holds a License No. 28RI03977400 (NJ). The current practice location address for Kwan Yung Kim is 919 Main Ave, Passaic, NJ 07055-8529 and can be reached out via phone at 609-865-3090.

Provider Profile Details

NPI Number
1164993671
Provider Name
Kwan Yung Kim
Provider Entity Type
Individual
Gender
Male
Address
919 Main Ave, Passaic, NJ 07055-8529
Phone Number
609-865-3090
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
Yes
Provider Enumeration Date
December 10, 2018
Last Update Date
December 10, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
919 Main Ave
Passaic, NJ 07055-8529
Zip
07055-8529
Phone Number
609-865-3090
Passaic, NJ 07055Get directions →

Provider Business Mailing Address Details

Address
424 River Dr Apt 36
Garfield, NJ 07026-3243
City
Garfield
State
NJ
Zip
07026-3243
Phone Number
609-865-3090

License Information

License Number
28RI03977400
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 Kwan Yung Kim?

The NPI number of Kwan Yung Kim is 1164993671. It was assigned on December 10, 2018 and is currently active in the NPPES registry.

What is the specialty of Kwan Yung Kim?

Kwan Yung Kim is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in NJ under license number 28RI03977400.

Where does Kwan Yung Kim practice?

The practice location is 919 Main Ave, Passaic, NJ 07055-8529. The office can be reached at 609-865-3090 (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 1164993671 directly on the NPPES registry website.

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