Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1669220331 Individual Practitioner Female Practitioner

Si Nae Kim

Pharmacist • Placerville, CA

Professional Overview & Biography Verified Profile Summary

Si Nae Kim is a registered healthcare professional specializing in Pharmacist in Placerville, CA. Practice services are available at 3964 MISSOURI FLAT RD STE A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3964 Missouri Flat Rd Ste A

Placerville, CA 956675238

Telephone 5306268642
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Placerville, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.8 Yrs
Regional Practice Density
43 Specialists

Practicing in Placerville, CA (33119 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: 2024-05-08
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License CA 89478

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
NPI 1043075062

Registered Pharmacist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 08, 2024

NPI status registered as active in NPPES database

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Updated Practice Location May 08, 2024

Registered at 3964 MISSOURI FLAT RD STE A, PLACERVILLE, CA 956675238 (Tel: 5306268642)

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Updated Business Mailing Address May 08, 2024

Registered at 10352 JENNICK WAY, ELK GROVE, CA 957571604 (Tel: 9162438610)

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Provider Name / Credentials Updated May 08, 2024

Recorded as SI NAE KIM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 08, 2024

Pharmacist (License #89478 in CA)

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Initial NPI Registration & Enumeration May 08, 2024

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: 1669220331
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 08, 2024
Last Update: May 08, 2024
Sole Proprietor: No

Mailing Address

10352 Jennick Way

Elk Grove, CA 957571604

Phone: 9162438610

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.