Individual provider · Type 1 NPI

Jennie Kim

Pharmacist · New York, NY

NPI number 1366090045 Active

Practice location

2381 Frederick Douglass Blvd
New York, NY 10027-1822

Call (212) 749-6626 Map

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X066315 (NY)
Pharmacist 183500000X28RI03324800 (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 1366090045

Jennie Kim's National Provider Identifier is 1366090045, issued on Aug 27, 2019. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in New York, NY. The record was last updated on Jun 8, 2026.