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GENE KIM NPI 1043322092


NPI Information

NPI: 1043322092
Provider Name: GENE KIM

Doing Business As: SAN JACINTO PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
100 E MAIN ST
SAN JACINTO, CA
ZIP 92583
Phone: (951) 654-9393
Get Directions

GENE KIM is a community/retail pharmacy pharmacy in San Jacinto, CA. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. GENE KIM NPI is 1043322092. The provider is registered as an organization entity type.
The provider Is Doing Business As San Jacinto Pharmacy.

The provider's business location address is:

100 E MAIN ST
SAN JACINTO, CA
ZIP 92583-228
Phone: (951) 654-9393
Fax: (951) 654-9394

The provider's authorized official is Gene Kim .
The authorized official title is Pharmacist Owner and has the following contact phone number (951) 654-9393.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 9/28/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail PharmacyPHY46375CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1PHA463750MEDICAIDCALIFORNIA
21997444OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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