JEONG BEOM KIM
NPI 1477092880
Pharmacist in Vancouver, WA

Active since February 17, 2017
2521 MAIN ST, VANCOUVER, WA 98660(360) 693-2524 Get Directions Write a Review

NPPES record last updated: February 17, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeong Beom Kim NPPES

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

JEONG BEOM KIM (NPI 1477092880) is an individual pharmacist in Vancouver, Washington, licensed in Washington (PH60658048) and active in the NPI registry since February 2017.

NPPES Registry Identity

NPI1477092880
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameJEONG BEOM KIM
Location Address2521 MAIN STVancouver, WA 98660-2649
Mailing Address11800 Ne 124th Ave Unit N181Vancouver, WA 98682-1603 · (773) 459-5525
Sole ProprietorNo
Enumeration DateFebruary 17, 2017
NPI 1477092880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in WA · PH60658048
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.
2521 MAIN ST, Vancouver, WA 98660

Other Providers at the Same Location NPPES 9

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

Pharmacist
2521 MAIN ST
VANCOUVER, WA 98660
Pharmacist
2521 MAIN ST
VANCOUVER, WA 98660
Pharmacist
2521 MAIN ST
VANCOUVER, WA 98660
Pharmacist
2521 MAIN ST
VANCOUVER, WA 98660
Pharmacy
2521 MAIN ST
VANCOUVER, WA 98660
Pharmacist
2521 MAIN ST
VANCOUVER, WA 98660
Pharmacist
2521 MAIN ST
VANCOUVER, WA 98660
Pharmacist
2521 MAIN ST
VANCOUVER, WA 98660

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 Jeong Beom Kim's NPI number?

The NPI number for Jeong Beom Kim is 1477092880. It was assigned to this individual provider in the NPPES registry on February 17, 2017.

Where is Jeong Beom Kim located?

Jeong Beom Kim practices at 2521 Main St, Vancouver, WA 98660. The listed phone number is (360) 693-2524.

What is Jeong Beom 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 Jeong Beom Kim was last updated on February 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.