Jae Young Kim, PHARM. D.
NPI 1235473174ActiveIndividual· Pharmacist· Granada Hills, CA
Pharmacist (PHARM. D.) in Granada Hills, California, licensed in CA, CO and NC, with an NPI issued in November 2012. Part D covered 111 prescriptions written in 2024, 0% of them generic.
Overview
| NPI | 1235473174 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHARM. D. |
| Sole proprietor | No |
| NPI issued | Nov 15, 2012 |
| Last updated in NPPES | Mar 14, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist Primary | 183500000X | 71953 | CA |
| Pharmacist | 183500000X | 19825 | CO |
| Pharmacist | 183500000X | 22534 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 111 · 111 30-day fills |
|---|---|
| Patients | 98 |
| Total drug cost | $27,105 |
| Generic share | 0% of claims |
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All 51 pharmacists in Granada Hills · All pharmacists in California