Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1639717085 Individual Practitioner Female Practitioner

Jisu Kim

Pharmacist • Seaside, CA

Professional Overview & Biography Verified Profile Summary

Jisu Kim is a registered healthcare professional specializing in Pharmacist in Seaside, CA. Practice services are available at 1055 FREMONT BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1055 Fremont Blvd

Seaside, CA 939555712

Telephone 8313939231
Associated Practice Facility / Clinic
🏢 Walgreen Co Facility NPI 1396750683

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Seaside, CA

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

Practicing in Seaside, 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: 2020-02-24
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License CA RPH81253

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.

Pharmacist

NUCC Taxonomy Code: 183500000X

State License MA PH238383

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

12 Associated Practitioners
NPI 1053689166

Doctor of Pharmacy (Pharm.D.)

Aaron Lee

Pharmacist

NPI 1063001758
NPI 1093082067

Registered Pharmacist

NPI 1316435803

Doctor of Pharmacy (Pharm.D.)

NPI 1437427945

Registered Pharmacist

Eyob Hagos

Pharmacist

NPI 1467957449

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location February 24, 2020

Registered at 1055 FREMONT BLVD, SEASIDE, CA 939555712 (Tel: 8313939231)

📍
Updated Business Mailing Address February 24, 2020

Registered at 1055 FREMONT BLVD, SEASIDE, CA 939555712 (Tel: 8313939231)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 24, 2020

Pharmacist (License #PH238383 in MA)

NPI Profile Active December 17, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location December 17, 2019

Registered at 446 GARONNE ST, OXNARD, CA 930365313 (Tel: 6177949299)

📍
Updated Business Mailing Address December 17, 2019

Registered at 446 GARONNE ST, OXNARD, CA 930365313 (Tel: 6177949299)

👤
Provider Name / Credentials Updated December 17, 2019

Recorded as JISU KIM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 17, 2019

Pharmacist (License #RPH81253 in CA)

🟢
Initial NPI Registration & Enumeration December 17, 2019

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: 1639717085
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 17, 2019
Last Update: February 24, 2020
Sole Proprietor: No

Mailing Address

1055 Fremont Blvd

Seaside, CA 939555712

Phone: 8313939231

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.