Tae-Woo Kim
Pharmacist in Green Brook, NJ. Individual provider (NPI-1).
NPI number1215763586
StatusActive
Last updated in NPPESSep 12, 2024
Details
- NPI
- 1215763586
- Entity type
- Individual (NPI-1)
- Name
- Tae-Woo Kim
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 12, 2024
- Certification date
- Sep 12, 2024
- Last updated
- Sep 12, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 28RI04381800 | NJ | Yes |
Practice location
247 Us Highway 22Green Brook, NJ 08812-1807
Phone 732-655-4976
Mailing address
247 Us Highway 22Green Brook, NJ 08812-1807
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Pharmacist providers in Green Brook, NJ
- Lopa Desai, PHARM.D.NPI 1154603223
- Snehal M Desai, PHARMDNPI 1760664213
- Robert S Jenco, PHARMDNPI 1992087340
- Ansel Mathew, PHARMDNPI 1811591555
- Pinal Shah, PHARM. D.NPI 1679880215
All 6 Pharmacist providers in Green Brook · All 143 providers in Green Brook
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