Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1760767487 Deactivated / Inactive NPI Female Practitioner

Dr. Jacquelyn Kim , PharmD

Pharmacist • Buffalo Grove, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jacquelyn Kim has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 13, 2011
NPI Deactivation Date August 28, 2018
Total Practice Duration ~7 Years of Practice (2011 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Jacquelyn Kim, PharmD was a registered Pharmacist practicing in Buffalo Grove, IL. Throughout an active medical career spanning 7 years, Dr. Kim provided care at the practice location at 1701 N BUFFALO GROVE RD until profile deactivation on 2018-08-28.

Practice Location & Contact Primary Location

Practice Address

1701 N Buffalo Grove Rd

Buffalo Grove, IL 600896888

Telephone 8479559361
Fax 8479559365
Associated Practice Facility / Clinic
🏢 Walgreen Co Facility NPI 1346256849

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Buffalo Grove, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
52 Specialists

Practicing in Buffalo Grove, IL (9983 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 IL 051.287272

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 1013908375

Registered Pharmacist

Helen Kang

Pharmacist

NPI 1306126941
NPI 1306222690

Doctor of Pharmacy (Pharm.D.)

NPI 1821601865

Doctor of Pharmacy (Pharm.D.)

NPI 1891340345

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated August 28, 2018

Record deactivated on August 28, 2018

NPI Profile Active October 13, 2011

NPI status registered as active in NPPES database

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Updated Practice Location October 13, 2011

Registered at 1701 N BUFFALO GROVE RD, BUFFALO GROVE, IL 600896888 (Tel: 8479559361)

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Updated Business Mailing Address October 13, 2011

Registered at 1701 N BUFFALO GROVE RD, BUFFALO GROVE, IL 600896888 (Tel: 8479559361)

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Provider Name / Credentials Updated October 13, 2011

Recorded as JACQUELYN KIM, PHARMD

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 13, 2011

Pharmacist (License #051.287272 in IL)

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Initial NPI Registration & Enumeration October 13, 2011

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: 1760767487
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 13, 2011
Last Update: October 13, 2011
Deactivation Date: August 28, 2018

Mailing Address

1701 N Buffalo Grove Rd

Buffalo Grove, IL 600896888

Phone: 8479559361

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.