Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jennie Kim

Individual provider Pharmacist · NPI 1366090045

Jennie Kim is a Pharmacist in New York, New York. Practices as a sole proprietor. Licensed in New Jersey and New York.

Licensed in
NJ, NY
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

2381 Frederick Douglass Blvd
New York, NY 10027-1822
Phone: (212) 749-6626
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 066315 (NY)
Pharmacist Taxonomy 183500000X · Licence 28RI03324800 (NJ)

Record details

NPI number1366090045
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 27, 2019
Last updated in NPPESJune 8, 2026
Certification dateJune 8, 2026

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