IndividualActive
Jong Woo Kim
NPI 1336898584 · Pharmacist · Brewster, MA
Provider details
- NPI number
- 1336898584
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- PH240349 (MA)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
167e Villages Dr
Brewster, MA 02631
Phone: (909) 243-9033
Street-level locationGet directions
Mailing address
Po Box 2805
Orleans, MA 02653
Registry dates
- Enumerated
- 2022-03-23
- Last updated
- 2022-03-23
- Certified
- 2022-03-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.