Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1558778100 Individual Practitioner Male Practitioner

Jason Kim

Pharmacist • Bayside, NY

Professional Overview & Biography Verified Profile Summary

Jason Kim is a registered healthcare professional specializing in Pharmacist in Bayside, NY. Practice services are available at 21110 18TH AVE APT 1D under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

21110 18th Ave Apt 1d

Bayside, NY 113601501

Telephone 9176833384

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Bayside, NY

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

Practicing in Bayside, NY (23779 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: 2021-12-08
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License NY 059291

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.

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location December 08, 2021

Registered at 21110 18TH AVE APT 1D, BAYSIDE, NY 113601501 (Tel: 9176833384)

📍
Updated Business Mailing Address December 08, 2021

Registered at 21110 18TH AVE APT 1D, BAYSIDE, NY 113601501 (Tel: 9176833384)

👤
Provider Name / Credentials Updated December 08, 2021

Recorded as JASON KIM

NPI Profile Active July 15, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location July 15, 2014

Registered at 14474 37TH AVE, 1ST FLOOR, FLUSHING, NY 113545934 (Tel: 9176833384)

📍
Updated Business Mailing Address July 15, 2014

Registered at 14474 37TH AVE, 1ST FLOOR, FLUSHING, NY 113545934 (Tel: 9176833384)

👤
Provider Name / Credentials Updated July 15, 2014

Recorded as JAE KIM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 15, 2014

Pharmacist (License #059291 in NY)

🟢
Initial NPI Registration & Enumeration July 15, 2014

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: 1558778100
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 15, 2014
Last Update: December 08, 2021
Sole Proprietor: Yes

Mailing Address

21110 18th Ave Apt 1d

Bayside, NY 113601501

Phone: 9176833384

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.