Active NPI
Gene Kim
Doing business as San Jacinto Pharmacy
- Community/Retail Pharmacy
- San Jacinto, CA
National Provider Identifier
1043322092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY46375
- Legal business name
- GENE KIM
- Doing business as
- San Jacinto Pharmacy
- Practice address
- 100 E Main St
San Jacinto, CA 92583-4228 - Phone
- (951) 654-9393
- NPI assigned
- Aug 31, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gene Kim, PHARMD
- Title
- Chief Pharmacist
- Phone
- (951) 654-9393
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PHY46375 | CA | Primary |
Addresses
Primary practice location
100 E Main St
San Jacinto, CA 92583-4228
Mailing address
100 E Main St
San Jacinto, CA 92583-4228
Phone (951) 654-9393
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1997444 | Other | PK | |
| PHA463750 | Medicaid | CA |
Other names 1
- SAN JACINTO PHARMACY
National Provider Directory
National Provider DirectoryLocations
100 E Main St
San Jacinto, CA 92583
Phone (951) 654-9393
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- San Jacinto, CA
- NPI 1316057243
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774569600000",
"number": "1043322092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E MAIN ST",
"city": "SAN JACINTO",
"state": "CA",
"postal_code": "925834228",
"telephone_number": "951-654-9393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E MAIN ST",
"city": "SAN JACINTO",
"state": "CA",
"postal_code": "925834228",
"telephone_number": "951-654-9393"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENE KIM",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2026-03-27",
"certification_date": "2026-03-27",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "GENE",
"authorized_official_title_or_position": "CHIEF PHARMACIST",
"authorized_official_telephone_number": "951-654-9393",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CA",
"license": "PHY46375",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "1997444",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHA463750",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SAN JACINTO PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in San Jacinto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.