JISU KIM
NPI 1639717085
Pharmacist in Seaside, CA

Active since December 17, 2019
1055 FREMONT BLVD, SEASIDE, CA 93955(831) 393-9231 Get Directions Write a Review

NPPES record last updated: February 24, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 24, 2020, Dec 17, 2019 (2 updates tracked since 2019).

About Jisu Kim NPPES

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

JISU KIM (NPI 1639717085) is an individual pharmacist in Seaside, California, licensed in California (RPH81253) and active in the NPI registry since December 2019.

NPPES Registry Identity

NPI1639717085
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameJISU KIM
Location Address1055 FREMONT BLVDSeaside, CA 93955-5712
Mailing Address1055 Fremont BlvdSeaside, CA 93955-5712 · (831) 393-9231
Sole ProprietorNo
Enumeration DateDecember 17, 2019
Last NPPES UpdateFebruary 24, 20202 updates tracked since enumeration
NPI 1639717085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
Licenses Licensed in CA · RPH81253 Licensed in MA · PH238383
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.
1055 FREMONT BLVD, Seaside, CA 93955

Other Providers at the Same Location NPPES 13

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

Pharmacist
1055 FREMONT BLVD
SEASIDE, CA 93955
Pharmacist
1055 FREMONT BLVD
SEASIDE, CA 93955
Pharmacist
1055 FREMONT BLVD
SEASIDE, CA 93955
Pharmacist
1055 FREMONT BLVD
SEASIDE, CA 93955
Pharmacy
1055 FREMONT BLVD
SEASIDE, CA 93955
Pharmacist
1055 FREMONT BLVD
SEASIDE, CA 93955
Pharmacist
1055 FREMONT BLVD
SEASIDE, CA 93955
Pharmacist
1055 FREMONT BLVD
SEASIDE, CA 93955

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 Jisu Kim's NPI number?

The NPI number for Jisu Kim is 1639717085. It was assigned to this individual provider in the NPPES registry on December 17, 2019.

Where is Jisu Kim located?

Jisu Kim practices at 1055 Fremont Blvd, Seaside, CA 93955. The listed phone number is (831) 393-9231.

What is Jisu 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 Jisu Kim was last updated on February 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.