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

Jennifer Kwak

Individual provider Pharmacist · NPI 1477101657

Jennifer Kwak is a Pharmacist in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2019.

Licensed in
PA
In the registry since
2019
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Practice location Address checks out

11750 Bustleton Ave
Philadelphia, PA 19116-2516
Phone: (215) 934-6221
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence RP453757 (PA)

Record details

NPI number1477101657
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 30, 2019
Last updated in NPPESAugust 30, 2019

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