Jong Woo Kim, is a
Pharmacist based in Brewster, Massachusetts. Jong Woo Kim is licensed to practice in Massachusetts (license number PH240349) and his current practice location is
167e Villages Dr, Brewster, Massachusetts. He can be reached at his office (for appointments etc.) via phone at
(909) 243-9033.
NPI number for Jong Woo Kim is 1336898584 and his current mailing address is Po Box 2805, Orleans, Massachusetts. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1336898584.
Healthcare Provider's Profile
| Full Name | Jong Woo Kim |
|---|
| Gender | Male |
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| Speciality | Pharmacist |
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| Location | 167e Villages Dr, Brewster, Massachusetts |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1336898584
- Provider Enumeration Date: 03/23/2022
- Last Update Date: 03/23/2022
Medical Identifiers
Medical identifiers for Jong Woo Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336898584 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | PH240349 (Massachusetts) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jong Woo Kim is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jong Woo Kim,
Po Box 2805,
Orleans, MA 02653
Ph: () - | Jong Woo Kim,
167e Villages Dr,
Brewster, MA 02631
Ph: (909) 243-9033 |
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