IndividualActive
John Kim, PHARMD
NPI 1174996193 · Pharmacist · Vail, CO
Provider details
- NPI number
- 1174996193
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- No
- License
- 21095 (CO)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2109 N Frontage Rd W
Vail, CO 81657-4897
Phone: (970) 476-1621
Street-level locationGet directions
Mailing address
1300 N Frontage Rd W # 5318
Vail, CO 81657-9944
Registry dates
- Enumerated
- 2015-11-12
- Last updated
- 2020-09-30
- Certified
- 2020-09-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.