1. Home
  2. Directory
  3. California
  4. Granada Hills
  5. Pharmacist
  6. NPI Profile

JAE YOUNG KIM PHARM. D.
NPI 1235473174
Pharmacist in Granada Hills, CA

Active since November 15, 2012
16830 SAN FERNANDO MISSION BLVD, GRANADA HILLS, CA 91344(818) 831-5059(818) 832-6541 Get Directions Write a Review

NPPES record last updated: March 14, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jae Young Kim Pharm. D. NPPES

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

JAE YOUNG KIM PHARM. D. (NPI 1235473174) is an individual pharmacist in Granada Hills, California, licensed in California (71953) and active in the NPI registry since November 2012.

NPPES Registry Identity

NPI1235473174
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameJAE YOUNG KIMCredential: PHARM. D.
Location Address16830 SAN FERNANDO MISSION BLVDGranada Hills, CA 91344-4247
Mailing Address16830 San Fernando Mission BlvdGranada Hills, CA 91344-4247 · (818) 831-5059 · Fax (818) 832-6541
Phone(818) 831-5059
Fax(818) 832-6541
Sole ProprietorNo
Enumeration DateNovember 15, 2012
Last NPPES UpdateMarch 14, 2019
✔ NPI 1235473174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
Licenses✔ Licensed in CA · 71953✔ Licensed in NC · 22534✔ Licensed in CO · 19825
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.
16830 SAN FERNANDO MISSION BLVD, Granada Hills, CA 91344
Open in Google Maps ↗

Other Providers at the Same Location NPPES 4

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

VONS COMPANIES INC
Pharmacy (Community/Retail Pharmacy)
16830 SAN FERNANDO MISSION BLVD
GRANADA HILLS, CA 91344
Los Angeles County (818) 831-5059
DR. ANIE TATAVOS-GHARAJEH PHARM. D
Pharmacist
16830 SAN FERNANDO MISSION BLVD
GRANADA HILLS, CA 91344
Los Angeles County (818) 831-5059
MR. KEN ENG RPH
Pharmacist
16830 SAN FERNANDO MISSION BLVD
GRANADA HILLS, CA 91344
Los Angeles County (818) 831-5059
MS. KRIS KIM PHARM D.
Pharmacist
16830 SAN FERNANDO MISSION BLVD
GRANADA HILLS, CA 91344
Los Angeles County (818) 831-5059

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 Jae Young Kim's NPI number?

The NPI number for Jae Young Kim is 1235473174. It was assigned to this individual provider in the NPPES registry on November 15, 2012.

Where is Jae Young Kim located?

Jae Young Kim practices at 16830 San Fernando Mission Blvd, Granada Hills, CA 91344. The listed phone number is (818) 831-5059.

What is Jae Young 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 Jae Young Kim was last updated on March 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.