- Practice location
- 167E Villages Dr, Brewster, MA 02631
- Phone
- 909-243-9033
- Fax
- —
- Last updated
- March 23, 2022
Jong Woo Kim is a Pharmacist based in Brewster, MA. Jong Woo Kim practices in Brewster, MA. The NPI Number for Jong Woo Kim is 1336898584 and holds a License No. PH240349 (MA). The current practice location address for Jong Woo Kim is 167E Villages Dr, Brewster, MA 02631 and can be reached out via phone at 909-243-9033.
Provider Profile Details
- NPI Number
- 1336898584
- Provider Name
- Jong Woo Kim
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 167E Villages Dr, Brewster, MA 02631
- Phone Number
- 909-243-9033
- Primary Taxonomy
- Pharmacist · 183500000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 23, 2022
- Last Update Date
- March 23, 2022
- Certification Date
- March 8, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 167E Villages Dr
Brewster, MA 02631 - City
- Brewster
- State
- Massachusetts
- Zip
- 02631
- Phone Number
- 909-243-9033
Provider Business Mailing Address Details
- Address
- Po Box 2805
Orleans, MA 02653 - City
- Orleans
- State
- MA
- Zip
- 02653
License Information
- License Number
- PH240349
- License State
- MA
- Taxonomy
- Pharmacist · 183500000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Jong Woo Kim?
The NPI number of Jong Woo Kim is 1336898584. It was assigned on March 23, 2022 and is currently active in the NPPES registry.
What is the specialty of Jong Woo Kim?
Jong Woo Kim is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in MA under license number PH240349.
Where does Jong Woo Kim practice?
The practice location is 167E Villages Dr, Brewster, MA 02631. The office can be reached at 909-243-9033 (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 1336898584 directly on the NPPES registry website.