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GRACE KIM PHARM D
NPI 1194184366
Pharmacist - Ambulatory Care in Santa Rosa, CA

Active since February 16, 2016
401 BICENTENNIAL WAY, SANTA ROSA, CA 95403(707) 566-5929 Get Directions Write a Review

NPPES record last updated: December 27, 2021. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Dec 27, 2021, Nov 23, 2021, Feb 16, 2016 (3 updates tracked since 2016).

About Grace Kim Pharm D NPPES

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

GRACE KIM PHARM D (NPI 1194184366) is an individual ambulatory care provider in Santa Rosa, California, licensed in California (55714) and active in the NPI registry since February 2016.

NPPES Registry Identity

NPI1194184366
Entity TypeIndividualFemale
Primary Taxonomy1835P2201X
Provider Legal NameGRACE KIMCredential: PHARM D
Location Address401 BICENTENNIAL WAYSanta Rosa, CA 95403-2149
Mailing Address401 Bicentennial WaySanta Rosa, CA 95403-2149
Phone(707) 566-5929
Sole ProprietorNo
Enumeration DateFebruary 16, 2016
Last NPPES UpdateDecember 27, 20213 updates tracked since enumeration
NPPES CertifiedDecember 27, 2021
✔ NPI 1194184366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · Ambulatory CarePharmacy Service Providers
Taxonomy Code1835P2201X
License✔ Licensed in CA · 55714
Definition
A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community.
401 BICENTENNIAL WAY, Santa Rosa, CA 95403
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Other Providers at the Same Location NPPES 20

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

MS. JESSICA ANNE RUTLAND R.D.
Dietitian, Registered
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
Sonoma County (707) 393-4787
KURT FALKENBERG P.T.
Physical Therapist
401 BICENTENNIAL WAY, EAST BUILDING, SUITE 190
SANTA ROSA, CA 95403
Sonoma County (707) 571-3352
DELILAH PATTERSON CRNA
Nurse Anesthetist, Certified Registered
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
Sonoma County (707) 393-4616
KRISZTINA J. BALAZS MD
Pediatrics
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
Sonoma County (707) 571-4000
JOHN F. KUNKEL MD
Pathology (Anatomic Pathology)
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
Sonoma County (707) 571-4000
CRISTINA COREY SCHROEN LCSW
Social Worker (Clinical)
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
Sonoma County (707) 571-2536
JIE GIOK RAHARDJA PHARMD
Pharmacist
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
Sonoma County (707) 393-4652
CONOR WILLIAM BOWMAN PHARM.D.
Pharmacist
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
Sonoma County (818) 522-1238

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 Grace Kim's NPI number?

The NPI number for Grace Kim is 1194184366. It was assigned to this individual provider in the NPPES registry on February 16, 2016.

Where is Grace Kim located?

Grace Kim practices at 401 Bicentennial Way, Santa Rosa, CA 95403. The listed phone number is (707) 566-5929.

What is Grace Kim's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Ambulatory Care, with taxonomy code 1835P2201X.

When was this NPI record last updated?

The NPPES record for Grace Kim was last updated on December 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.