Active NPIIndividual providerSole proprietor

Ji Myung Kim

Pharmacy in Palisades Park, New Jersey

NPI Number1851984975
Practice location
450 Broad Ave, Palisades Park, NJ 07650-1631
Fax
—
Last updated
February 19, 2021

Ji Myung Kim is a Pharmacy based in Palisades Park, NJ. Ji Myung Kim practices in Palisades Park, NJ. The NPI Number for Ji Myung Kim is 1851984975. The current practice location address for Ji Myung Kim is 450 Broad Ave, Palisades Park, NJ 07650-1631 and can be reached out via phone at 201-947-8877.

Provider Profile Details

NPI Number
1851984975
Provider Name
Ji Myung Kim
Provider Entity Type
Individual
Gender
Female
Address
450 Broad Ave, Palisades Park, NJ 07650-1631
Phone Number
201-947-8877
Primary Taxonomy
Pharmacy · 333600000X
Sole Proprietor
Yes
Provider Enumeration Date
February 19, 2021
Last Update Date
February 19, 2021
Certification Date
February 1, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
450 Broad Ave
Palisades Park, NJ 07650-1631
Zip
07650-1631
Phone Number
201-947-8877
Palisades Park, NJ 07650Get directions →

Provider Business Mailing Address Details

Address
230 A 3RD Street
Basement
Palisades Park, NJ 07650
City
Palisades Park
State
NJ
Zip
07650
Phone Number
857-409-1374

License Information

Taxonomy
Pharmacy · 333600000X · 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 Ji Myung Kim?

The NPI number of Ji Myung Kim is 1851984975. It was assigned on February 19, 2021 and is currently active in the NPPES registry.

What is the specialty of Ji Myung Kim?

Ji Myung Kim is registered under the primary taxonomy Pharmacy (code 333600000X).

Where does Ji Myung Kim practice?

The practice location is 450 Broad Ave, Palisades Park, NJ 07650-1631. The office can be reached at 201-947-8877 (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 1851984975 directly on the NPPES registry website.

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