Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174984389 Individual Practitioner Female Practitioner

Ji Won Kim

Pharmacist • Dacula, GA

Professional Overview & Biography Verified Profile Summary

Ji Kim is a registered healthcare professional specializing in Pharmacist in Dacula, GA. Practice services are available at 2463 HAMILTON MILL PKWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2463 Hamilton Mill Pkwy

Dacula, GA 300194648

Telephone 7706141076
Associated Practice Facility / Clinic
🏢 Publix Super Markets Inc Facility NPI 1730129248

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Dacula, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.0 Yrs
Regional Practice Density
34 Specialists

Practicing in Dacula, GA (8508 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

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License GA RPH027280

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

5 Associated Practitioners
NPI 1154931483

Doctor of Pharmacy (Pharm.D.)

NPI 1174020499

Doctor of Pharmacy (Pharm.D.)

Floriebelle Simmons

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI 1437793668
NPI 1801134895
Jason Brown

Pharmacist

NPI 1881931848

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 15, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location March 15, 2016

Registered at 2463 HAMILTON MILL PKWY, DACULA, GA 300194648 (Tel: 7706141076)

📍
Updated Business Mailing Address March 15, 2016

Registered at 2463 HAMILTON MILL PKWY, DACULA, GA 300194648 (Tel: 7706141076)

👤
Provider Name / Credentials Updated March 15, 2016

Recorded as JI KIM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 15, 2016

Pharmacist (License #RPH027280 in GA)

🟢
Initial NPI Registration & Enumeration March 15, 2016

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: 1174984389
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 15, 2016
Last Update: March 15, 2016
Sole Proprietor: No

Mailing Address

2463 Hamilton Mill Pkwy

Dacula, GA 300194648

Phone: 7706141076

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.