MOON KIM
NPI 1790112738
Pharmacist in San Jose, CA

Active since October 05, 2013
751 S BASCOM AVE BLDG W, SAN JOSE, CA 95128(408) 885-2300 Get Directions Write a Review

NPPES record last updated: October 5, 2013. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Moon Kim NPPES

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

MOON KIM (NPI 1790112738) is an individual pharmacist in San Jose, California, licensed in California (55244) and active in the NPI registry since October 2013.

NPPES Registry Identity

NPI1790112738
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameMOON KIM
Location Address751 S BASCOM AVE BLDG WSan Jose, CA 95128-2604
Mailing Address1660 Manton CtCampbell, CA 95008-5123 · (408) 376-3683
Sole ProprietorNo
Enumeration DateOctober 5, 2013
✔ NPI 1790112738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in CA · 55244
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.
751 S BASCOM AVE BLDG W, San Jose, CA 95128

Other Providers at the Same Location NPPES

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

Registered Nurse (Ambulatory Care)
751 S BASCOM AVE BLDG W
SAN JOSE, CA 95128

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 Moon Kim's NPI number?

The NPI number for Moon Kim is 1790112738. It was assigned to this individual provider in the NPPES registry on October 5, 2013.

Where is Moon Kim located?

Moon Kim practices at 751 S Bascom Ave Bldg W, San Jose, CA 95128. The listed phone number is (408) 885-2300.

What is Moon 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 Moon Kim was last updated on October 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.