IndividualActive
Jeong Beom Kim
NPI 1477092880 · Pharmacist · Vancouver, WA
Provider details
- NPI number
- 1477092880
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- PH60658048 (WA)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
2521 Main St
Vancouver, WA 98660-2649
Phone: (360) 693-2524
Street-level locationGet directions
Mailing address
11800 Ne 124th Ave Unit N181
Vancouver, WA 98682-1603
Registry dates
- Enumerated
- 2017-02-17
- Last updated
- 2017-02-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.