JINAH KIM
NPI 1114552296
Pharmacist in Provo, UT

Active since March 09, 2020
545 COLUMBIA LN, PROVO, UT 84604(385) 477-4942 Get Directions Write a Review

NPPES record last updated: January 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 19, 2021, Mar 9, 2020 (2 updates tracked since 2020).

About Jinah Kim NPPES

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

JINAH KIM (NPI 1114552296) is an individual pharmacist in Provo, Utah, licensed in Utah (10696568) and active in the NPI registry since March 2020. She maintains a secondary practice location in Provo.

NPPES Registry Identity

NPI1114552296
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameJINAH KIM
Location Address545 COLUMBIA LNProvo, UT 84604-2450
Mailing Address545 Columbia LnProvo, UT 84604-2450 · (385) 477-4942 · Fax (385) 477-4945
Sole ProprietorNo
Enumeration DateMarch 9, 2020
Last NPPES UpdateJanuary 19, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2021
NPI 1114552296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in UT · 10696568
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.
545 COLUMBIA LN, Provo, UT 84604

Secondary Practice Location 1

Location 1545 Columbia LnProvo, UT 84604-2450 · Phone (385) 477-4942 · Fax (385) 477-4945

Other Identifiers 1

Medicaid3008051UT

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy (Community/Retail Pharmacy)
545 COLUMBIA LN
PROVO, UT 84604

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 Jinah Kim's NPI number?

The NPI number for Jinah Kim is 1114552296. It was assigned to this individual provider in the NPPES registry on March 9, 2020.

Where is Jinah Kim located?

Jinah Kim practices at 545 Columbia Ln, Provo, UT 84604. The listed phone number is (385) 477-4942.

What is Jinah 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 Jinah Kim was last updated on January 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.