Jinah Kim

Primary specialty

PharmacistTaxonomy code 183500000X

License

10696568 Issued in UT

Practice address

545 Columbia LN
Provo, UT 84604-2450

Phone

(385) 477-4942

NPI assigned

Mar 9, 2020

Last updated

Jan 19, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bettercare Family Pharmacy LLC

  • Community/Retail Pharmacy
  • Provo, UT
  • NPI 1659859965
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1583712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1114552296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 COLUMBIA LN",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846042450",
            "telephone_number": "385-477-4942",
            "fax_number": "385-477-4945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 COLUMBIA LN",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846042450",
            "telephone_number": "385-477-4942"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "545 Columbia Ln",
            "address_purpose": "LOCATION",
            "city": "Provo",
            "state": "UT",
            "postal_code": "846042450",
            "country_code": "US",
            "telephone_number": "385-477-4942",
            "fax_number": "385-477-4945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "JINAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-09",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "10696568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3008051",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frederick Martin Kiel II
• Jennette R Kilgrow, DIETITIAN
• Chelsie Deeann Killpack, LCSW
• Richard Douglas Killpack
• Ashley Inyoung Kim
• Josephine Kim
• Seh Young Kim
• Chad Brigham Kimball, M.D.
• Karter Ralph Kimball
• Kirt M Kimball, MD

• Pharmacist in Provo, UT
• Providers in Provo, UT by specialty
• Pharmacist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.