Individual provider · Type 1 NPI

Jaewon Kim

Pharmacist · Montvale, NJ

NPI number 1316856719 Active

Practice location

225 Summit Ave
Montvale, NJ 07645-1523

Mailing address

56 Brownstone Way Apt 414
Englewood, NJ 07631-1224

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X28RI04110500 (NJ)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1316856719

Jaewon Kim's National Provider Identifier is 1316856719, issued on Sep 2, 2026. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Montvale, NJ. The record was last updated on Sep 2, 2026.