Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013881754 Individual Practitioner Male Practitioner

Jaekwan Kim

Pharmacist • Anchorage, AK

Professional Overview & Biography Verified Profile Summary

Jaekwan Kim is a registered healthcare professional specializing in Pharmacist in Anchorage, AK. Practice services are available at 4000 W DIMOND BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4000 W Dimond Blvd

Anchorage, AK 995021475

Telephone 9073391200
Associated Practice Facility / Clinic
🏢 Carr-Gottstein Foods Co Facility NPI 1740219781

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Anchorage, AK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
341 Specialists

Practicing in Anchorage, AK (752 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-10-04
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License AK 240990

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Heather Heidorn , PharmD

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI 1093366601

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 04, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location October 04, 2025

Registered at 4000 W DIMOND BLVD, ANCHORAGE, AK 995021475 (Tel: 9073391200)

📍
Updated Business Mailing Address October 04, 2025

Registered at 1000 W 8TH AVE APT 204, ANCHORAGE, AK 995013319

👤
Provider Name / Credentials Updated October 04, 2025

Recorded as JAEKWAN KIM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 04, 2025

Pharmacist (License #240990 in AK)

🟢
Initial NPI Registration & Enumeration October 04, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013881754
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 04, 2025
Last Update: October 04, 2025
Sole Proprietor: No

Mailing Address

1000 W 8th Ave Apt 204

Anchorage, AK 995013319

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.