Active NPI
Gene Kim, PHARMD
- Pharmacist
- San Jacinto, CA
National Provider Identifier
1316057243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 54767
- Practice address
- 100 E Main St
San Jacinto, CA 92583-4228 - Phone
- (951) 654-9393
- NPI assigned
- Aug 30, 2006
- Last updated
- Mar 4, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 54767 | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54767 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gene Kim | Current | Accepting new patients |
Locations
100 E Main St
San Jacinto, CA 92583
Phone (951) 654-9393
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772582400000",
"number": "1316057243",
"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": {
"last_name": "KIM",
"first_name": "GENE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2026-03-04",
"certification_date": "2026-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "54767",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 4, 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.