What is Jack Kim's NPI number?

Jack Kim's National Provider Identifier (NPI) is 1770264103, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jack Kim's specialty?

Jack Kim is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).

Where is Jack Kim located?

Jack Kim's practice location on file with NPPES is 100 County Road B W, Maplewood, MN 55117-1931.

What is Jack Kim's phone number?

The practice phone number listed in the NPPES registry for Jack Kim is (608) 772-8773.

Is Jack Kim's NPI active?

Yes — Jack Kim's NPI (1770264103) is active in the NPPES registry as of the last update on 2024-08-28.

IndividualActive

Jack Kim

NPI 1770264103 · Pharmacist · Maplewood, MN

Jack Kim is a Pharmacist provider in Maplewood, MN (NPI 1770264103).

Provider details

NPI number: 1770264103
Entity type: Individual
Primary specialty: PharmacistPharmacy Service Providers
Sex: Male
Sole proprietor: No
License: PH-4988 (HI)

Specialties & taxonomies

PharmacistPrimary183500000XLicense 126132 (MN)
Pharmacy Service Providers
Pharmacist183500000XLicense PH-4988 (HI)
Pharmacy Service Providers
Pharmacist183500000XLicense 22263 (WI)
Pharmacy Service Providers

Profile Score

Established profile(58/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
2 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

100 County Road B W

Maplewood, MN 55117-1931

Phone: (608) 772-8773

Street-level locationGet directions

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Mailing address