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STEPHANIE KIM PHARMD
NPI 1114415866
Pharmacist in San Diego, CA

Active since April 27, 2018
4060 FOURTH AVE STE 507, SAN DIEGO, CA 92103(858) 314-0586 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 6, 2026, Apr 27, 2018 (2 updates tracked since 2018).

About Stephanie Kim Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHANIE KIM PHARMD (NPI 1114415866) is an individual pharmacist in San Diego, California, licensed in California (76709) and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1114415866
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameSTEPHANIE KIMCredential: PHARMD
Location Address4060 FOURTH AVE STE 507San Diego, CA 92103-2121
Mailing Address4060 Fourth Ave Ste 507San Diego, CA 92103-2121
Phone(858) 314-0586
Sole ProprietorYes
Enumeration DateApril 27, 2018
Last NPPES UpdateApril 6, 20262 updates tracked since enumeration
NPPES CertifiedApril 6, 2026
✔ NPI 1114415866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in CA · 76709
Definition
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, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
4060 FOURTH AVE STE 507, San Diego, CA 92103
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephanie Kim's NPI number?

The NPI number for Stephanie Kim is 1114415866. It was assigned to this individual provider in the NPPES registry on April 27, 2018.

Where is Stephanie Kim located?

Stephanie Kim practices at 4060 Fourth Ave Ste 507, San Diego, CA 92103. The listed phone number is (858) 314-0586.

What is Stephanie Kim's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Stephanie Kim was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.