JENNIE KIM
NPI 1366090045
Pharmacist in New York, NY

Active since August 27, 2019
2381 FREDERICK DOUGLASS BLVD, NEW YORK, NY 10027(212) 749-6626 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jennie Kim NPPES

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

JENNIE KIM (NPI 1366090045) is an individual pharmacist in New York, New York, licensed in New York (066315) and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1366090045
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameJENNIE KIM
Location Address2381 FREDERICK DOUGLASS BLVDNew York, NY 10027-1822
Mailing Address2381 Frederick Douglass BlvdNew York, NY 10027-1822
Sole ProprietorYes
Enumeration DateAugust 27, 2019
Last NPPES UpdateJune 8, 2026
NPPES CertifiedJune 8, 2026
NPI 1366090045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
Licenses Licensed in NY · 066315 Licensed in NJ · 28RI03324800
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.

2381 FREDERICK DOUGLASS BLVD, New York, NY 10027

Other Providers at the Same Location NPPES 10

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

Licensed Practical Nurse
2381 FREDERICK DOUGLASS BLVD
NEW YORK, NY 10027
Pharmacist
2381 FREDERICK DOUGLASS BLVD
NEW YORK, NY 10027
Nurse Practitioner (Family)
2381 FREDERICK DOUGLASS BLVD
NEW YORK, NY 10027
Family Medicine
2381 FREDERICK DOUGLASS BLVD
NEW YORK, NY 10027
Pharmacist
2381 FREDERICK DOUGLASS BLVD
NEW YORK, NY 10027
Pharmacy (Specialty Pharmacy)
2381 FREDERICK DOUGLASS BLVD
NEW YORK, NY 10027
Pharmacy (Community/Retail Pharmacy)
2381 FREDERICK DOUGLASS BLVD
NEW YORK, NY 10027
Clinic/Center (Federally Qualified Health Center (FQHC))
2381 FREDERICK DOUGLASS BLVD
NEW YORK, NY 10027

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366090045, enumerated as an "individual" on August 27, 2019.

The provider is located at 2381 FREDERICK DOUGLASS BLVD NEW YORK, NY 10027 and the phone number is (212) 749-6626.

Pharmacist with taxonomy code 183500000X.