MEDICARE: JAY P KIM RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	042186	NY

General Provider Information

NPI Number	:	1205772241
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAY P KIM RPH

Provider Business Mailing Address
First Line	:	6 OAKWOOD WAY
Second Line	:
City	:	WEST WINDSOR
State	:	NJ
Zip	:	08550-3527
Country	:	US
Telephone Number	:	610-324-7803
Fax Number	:

Provider Business Practice Location Address
First Line	:	6 OAKWOOD WAY
Second Line	:
City	:	WEST WINDSOR
State	:	NJ
Zip	:	08550-3527
Country	:	US
Telephone Number	:	610-324-7803
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/23/2026
Last Update Date	:	04/23/2026

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