Jocelyn Kim, PHARMD
Individual provider Active NPI Pharmacist · Los Ranchos, NM
NPI 1285225854 · NPPES record last updated Jan 27, 2021
Key facts
- NPI
- 1285225854
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP008489 (NM)
- Practice address
- 7103 4TH St NW Ste G
Los Ranchos, NM 87107-6675 - Phone
- (505) 358-7155
- NPI assigned
- Jan 27, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP008489 | NM | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newscripts Pharmacy LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP008489 | NM | Yes |
Addresses
Primary practice location
7103 4TH St NW Ste G
Los Ranchos, NM 87107-6675
Mailing address
941 Calle Mejia Apt 908
Santa Fe, NM 87501-1467
Phone (541) 698-6585
Other practice location 1
3001 Broadmoor Blvd NE
Rio Rancho, NM 87144-2100
Phone (505) 994-7050
Other practice location 2
455 Saint Michaels Dr
Santa Fe, NM 87505-7601
Phone (505) 913-5707
Other providers in Los Ranchos, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.