JACK KIM
NPI 1770264103
Pharmacist in Maplewood, MN

Active since July 27, 2023
100 COUNTY ROAD B W, MAPLEWOOD, MN 55117(608) 772-8773 Get Directions Write a Review

NPPES record last updated: August 28, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 21, 2023, Jul 27, 2023 (2 updates tracked since 2023).

About Jack Kim NPPES

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

JACK KIM (NPI 1770264103) is an individual pharmacist in Maplewood, Minnesota, licensed in Minnesota (126132) and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1770264103
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameJACK KIM
Location Address100 COUNTY ROAD B WMaplewood, MN 55117-1931
Mailing Address100 County Road B WMaplewood, MN 55117-1931 · (608) 772-8773
Sole ProprietorNo
Enumeration DateJuly 27, 2023
Last NPPES UpdateAugust 28, 20242 updates tracked since enumeration
NPPES CertifiedAugust 28, 2024
NPI 1770264103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
Licenses Licensed in MN · 126132 Licensed in HI · PH-4988 Licensed in WI · 22263
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.
100 COUNTY ROAD B W, Maplewood, MN 55117

Other Providers at the Same Location NPPES 6

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

Pharmacist
100 COUNTY ROAD B W
MAPLEWOOD, MN 55117
Pharmacist
100 COUNTY ROAD B W
MAPLEWOOD, MN 55117
Pharmacist
100 COUNTY ROAD B W
MAPLEWOOD, MN 55117
Pharmacy (Community/Retail Pharmacy)
100 COUNTY ROAD B W
MAPLEWOOD, MN 55117
Pharmacist
100 COUNTY ROAD B W
MAPLEWOOD, MN 55117
Pharmacist
100 COUNTY ROAD B W
MAPLEWOOD, MN 55117

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 Jack Kim's NPI number?

The NPI number for Jack Kim is 1770264103. It was assigned to this individual provider in the NPPES registry on July 27, 2023.

Where is Jack Kim located?

Jack Kim practices at 100 County Road B W, Maplewood, MN 55117. The listed phone number is (608) 772-8773.

What is Jack 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 Jack Kim was last updated on August 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.