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Deactivated NPI 1003075789 Deactivated / Inactive NPI Male Practitioner

Jong R Kim , RPH

Pharmacist • Elmhurst, NY

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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, Jong Kim has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 06, 2008
NPI Deactivation Date June 01, 2020
Total Practice Duration ~12 Years of Practice (2008 – 2020)

Professional Overview & Biography Verified Profile Summary

Jong Kim, RPH was a registered Pharmacist practicing in Elmhurst, NY. Throughout an active medical career spanning 12 years, Jong Kim provided care at the practice location at 7945 GRAND AVE until profile deactivation on 2020-06-01.

Practice Location & Contact Primary Location

Practice Address

7945 Grand Ave

Elmhurst, NY 113734129

Telephone 7184582324

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Elmhurst, NY

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

Practicing in Elmhurst, 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

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License NY 030861

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

7 Historical Events
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NPI Profile Deactivated June 01, 2020

Record deactivated on June 01, 2020

NPI Profile Active June 06, 2008

NPI status registered as active in NPPES database

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Updated Practice Location June 06, 2008

Registered at 7945 GRAND AVE, ELMHURST, NY 113734129 (Tel: 7184582324)

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Updated Business Mailing Address June 06, 2008

Registered at 7945 GRAND AVE, ELMHURST, NY 113734129 (Tel: 7184582324)

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Provider Name / Credentials Updated June 06, 2008

Recorded as JONG KIM, RPH.

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2008

Pharmacist (License #030861 in NY)

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Initial NPI Registration & Enumeration June 06, 2008

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: 1003075789
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 06, 2008
Last Update: June 06, 2008
Deactivation Date: June 01, 2020

Mailing Address

7945 Grand Ave

Elmhurst, NY 113734129

Phone: 7184582324

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.