NICHOLAS KIM (NPI# 1003424409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003424409 |
| Entity Type | Individual |
| Full Name | NICHOLAS KIM |
| Practice Address |
2430 Tipperary Ave South San Francisco CA 94080-5352 |
| Practice Telephone | 4084806114 |
| Mailing Telephone | 4084806114 |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2020-07-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 71954 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427507680 | Nicholas Kim | Nurse Practitioner | 3104 E Indian School Rd Ste 100, Phoenix, AZ 85016-6873 | 2016-09-29 |
| 1811071004 | Nicholas H Kim | Dentist | 420 W Pleasant Valley Rd, Oxnard, CA 93033-7516 | 2006-10-24 |
| 1376155689 | Nicholas Kim | Pharmacist | 230 W Chrysler Dr, Belvidere, IL 61008-6304 | 2020-08-18 |
| 1457994980 | Nicholas S Kim | Student in an Organized Health Care Education/Training Program | 635 Albany Street, G407, Boston, MA 02118 | 2019-10-28 |
| 1629356845 | Nicholas K Kim | Student in an Organized Health Care Education/Training Program | University of Kansas Medical Ctr, 3901 Rainbow Blvd, Kansas City, KS 66160-0001 | 2011-07-22 |
| 1073837506 | Nicholas Kim | Plastic Surgery | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2010-03-26 |
| 1235227760 | Nicholas Youngrae Kim | Internal Medicine | 3010 W Orange Ave, #409, Anaheim, CA 92804-3169 | 2006-10-10 |
| Street Address |
2430 TIPPERARY AVE |
| City | SOUTH SAN FRANCISCO |
| State | CA |
| Zip Code | 94080-5352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245704303 | Patricia Sweeney | Nurse Practitioner | 435 Gran Ave, South San Francisco, CA 94080 | 2019-01-11 |
| 1518446988 | Yessenia Patricia Pena Ruiz | Counselor | 117 Pecks Ln, South San Francisco, CA 94080 | 2018-08-07 |
| 1982112579 | Breanna Mottau | Behavioral Analyst | 751a Camino Plaza, San Bruno, CA 94080 | 2018-01-17 |
| 1720594294 | Patricia Lynn Jasper | Nurse Practitioner | 395 Oyster Point Blvd., Suite 128, South San Francisco, CA 94080 | 2017-12-20 |
| 1184146755 | Breanne Ho | Student in an Organized Health Care Education/Training Program | 130 Nursery Way, South San Francisco, CA 94080 | 2017-07-14 |
| 1568843787 | Lita Wu | Optometrist | 119 Hickey Blvd, South San Francisco, CA 94080 | 2015-06-12 |
| 1720479553 | Naf Nasser Almadari | Physician Assistant | 717 Baden Ave, San Francisco, CA 94080 | 2015-02-16 |
| 1528459351 | Alexander M Gold | Internal Medicine | 270 East Grand Avenue, South San Francisco, CA 94080 | 2015-02-16 |
| 1548673411 | Elite Care Home Health Agency, Inc. | Home Health | 91 Westborough Blvd Ste 2020, South San Francisco, CA 94080 | 2014-06-08 |
| 1720415979 | Optometry Eyecareeyewear Com Inc | Optometrist | 601 Gateway Blvd., Suite 220, South San Francisco, CA 94080 | 2013-10-02 |
| Find all providers in zip 94080 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356952311 | Chelane Au | Pharmacist | 348 Susie Way Apt 4, South San Francisco, CA 94080-2348 | 2020-08-13 |
| 1750731956 | Hue Na Mimi Quach | Pharmacist | 358 Valencia Dr, South San Francisco, CA 94080-5620 | 2016-06-17 |
| 1902279441 | Ana M Leung | Pharmacist | 186 El Camino Real, South San Francisco, CA 94080-5925 | 2015-11-05 |
| 1821485913 | Rumany Chang Penn | Pharmacist | 400 Oyster Point Blvd Ste 111, South San Francisco, CA 94080-1917 | 2015-04-16 |
| 1477823045 | Pauline Wai-sze Chan | Pharmacist | 3760 Palos Verdes Way, South San Francisco, CA 94080-5226 | 2012-01-12 |
| 1558641456 | Ivy P Chan | Pharmacist | 358 Newman Dr, South San Francisco, CA 94080-3017 | 2011-08-23 |
| 1982900569 | Bill M. Wong | Pharmacist | 451 South Airport Blvd, South San Francisco, CA 94080 | 2011-01-31 |
| 1730496225 | Cathy W Hau | Pharmacist | 1200 El Camino Real Inpatient Pharmacy, 3rd Floor Tower, South San Francisco, CA 94080-3208 | 2010-09-07 |
| 1316136195 | Jerry Bales | Pharmacist | 749 Cottonwood Ave, South San Francisco, CA 94080-2526 | 2007-10-17 |
| 1619577517 | Alice Lin | Pharmacist | 2238 Westborough Blvd, South San Francisco, CA 94080-5405 | 2020-10-29 |
| Find all providers in SOUTH SAN FRANCISCO | ||||
| City | SOUTH SAN FRANCISCO |
| Zip Code | 94080 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.