Active NPIIndividual providerSole proprietor

Tina A Kim, PHARMD

Pharmacist in Wyckoff, New Jersey

NPI Number1639774409
Practice location
303 Franklin Ave, Wyckoff, NJ 07481-2095
Fax
—
Last updated
December 1, 2020

Tina Ahn Kim is a Pharmacist based in Wyckoff, NJ. Tina Ahn Kim practices in Wyckoff, NJ and has the professional credentials of PHARMD. The NPI Number for Tina Ahn Kim is 1639774409 and holds a License No. 28ri03232500 (NJ). The current practice location address for Tina Ahn Kim is 303 Franklin Ave, Wyckoff, NJ 07481-2095 and can be reached out via phone at 201-891-6660.

Provider Profile Details

NPI Number
1639774409
Provider Name
Tina Ahn Kim
Credential
PHARMD
Provider Entity Type
Individual
Gender
Female
Address
303 Franklin Ave, Wyckoff, NJ 07481-2095
Phone Number
201-891-6660
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
Yes
Provider Enumeration Date
December 1, 2020
Last Update Date
December 1, 2020
Certification Date
December 1, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
303 Franklin Ave
Wyckoff, NJ 07481-2095
Zip
07481-2095
Phone Number
201-891-6660
Wyckoff, NJ 07481Get directions →

Provider Business Mailing Address Details

Address
-100 Fair Lawn Pkwy
Fair Lawn, NJ 07410-3761
City
Fair Lawn
State
NJ
Zip
07410-3761

License Information

License Number
28ri03232500
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 Tina A Kim, PHARMD?

The NPI number of Tina A Kim, PHARMD is 1639774409. It was assigned on December 1, 2020 and is currently active in the NPPES registry.

What is the specialty of Tina A Kim, PHARMD?

Tina A Kim, PHARMD is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in NJ under license number 28ri03232500.

Where does Tina A Kim, PHARMD practice?

The practice location is 303 Franklin Ave, Wyckoff, NJ 07481-2095. The office can be reached at 201-891-6660 (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 1639774409 directly on the NPPES registry website.

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