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JAN D KIM PHARM.D.
NPI 1114558517
Pharmacist in Corona, CA

Active since February 04, 2020
4485 SIGNATURE DR, CORONA, CA 92883(818) 425-6638 Get Directions Write a Review

NPPES record last updated: February 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 11, 2021, Feb 4, 2020 (2 updates tracked since 2020).

About Jan D Kim Pharm.d. NPPES

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

JAN D KIM PHARM.D. (NPI 1114558517) is an individual pharmacist in Corona, California, licensed in California (78090) and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1114558517
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameJAN D KIMCredential: PHARM.D.
Location Address4485 SIGNATURE DRCorona, CA 92883-0633
Mailing Address4485 Signature DrCorona, CA 92883-0633 · (818) 425-6638
Phone(818) 425-6638
Sole ProprietorYes
Enumeration DateFebruary 4, 2020
Last NPPES UpdateFebruary 11, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 11, 2021
✔ NPI 1114558517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in CA · 78090
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.
4485 SIGNATURE DR, Corona, CA 92883
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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 Jan Kim's NPI number?

The NPI number for Jan Kim is 1114558517. It was assigned to this individual provider in the NPPES registry on February 4, 2020.

Where is Jan Kim located?

Jan Kim practices at 4485 Signature Dr, Corona, CA 92883. The listed phone number is (818) 425-6638.

What is Jan 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 Jan Kim was last updated on February 11, 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.