NICOLAS KYUNG JOON MIN PHARMD
NPI 1669943023
Pharmacist in Moreno Valley, CA

Active since December 11, 2018
12815 HEACOCK ST, MORENO VALLEY, CA 92553(866) 984-7483 Get Directions Write a Review

NPPES record last updated: December 11, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nicolas Kyung Joon Min Pharmd NPPES

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

NICOLAS KYUNG JOON MIN PHARMD (NPI 1669943023) is an individual pharmacist in Moreno Valley, California, licensed in California (79557) and active in the NPI registry since December 2018.

NPPES Registry Identity

NPI1669943023
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameNICOLAS KYUNG JOON MINCredential: PHARMD
Location Address12815 HEACOCK STMoreno Valley, CA 92553-2836
Mailing Address12815 Heacock StMoreno Valley, CA 92553-2836 · (866) 984-7483
Sole ProprietorNo
Enumeration DateDecember 11, 2018
NPI 1669943023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in CA · 79557
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.

12815 HEACOCK ST, Moreno Valley, CA 92553

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.

Family Medicine
12815 HEACOCK ST
MORENO VALLEY, CA 92553
Family Medicine
12815 HEACOCK ST
MORENO VALLEY, CA 92553
Marriage & Family Therapist
12815 HEACOCK ST
MORENO VALLEY, CA 92553
Social Worker
12815 HEACOCK ST
MORENO VALLEY, CA 92553
Family Medicine (Addiction Medicine)
12815 HEACOCK ST
MORENO VALLEY, CA 92553
Social Worker (Clinical)
12815 HEACOCK ST
MORENO VALLEY, CA 92553
Counselor (Addiction (Substance Use Disorder))
12815 HEACOCK ST
MORENO VALLEY, CA 92553
Family Medicine
12815 HEACOCK ST
MORENO VALLEY, CA 92553

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 Nicolas Min's NPI number?

The NPI number for Nicolas Min is 1669943023. It was assigned to this individual provider in the NPPES registry on December 11, 2018.

Where is Nicolas Min located?

Nicolas Min practices at 12815 Heacock St, Moreno Valley, CA 92553. The listed phone number is (866) 984-7483.

What is Nicolas Min'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 Nicolas Min was last updated on December 11, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.