JESSICA JEEHYUN KIM (NPI# 1164910683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164910683 |
| Entity Type | Individual |
| Full Name | JESSICA JEEHYUN KIM |
| Practice Address |
44100 Jefferson St Ste F Indio CA 92201-2715 |
| Mailing Address |
4366 Jasmine Hill Ct Chino Hills CA 91709-6171 |
| Practice Telephone | 7608956031 |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2018-04-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 76586 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710599360 | Jessica Kim | Counselor | 30 Eastbrook Rd Ste 303, Dedham, MA 02026-2084 | 2020-08-17 |
| 1558848127 | Jessica Kim | Chiropractor | 415 N Camden Dr Ste 204, Beverly Hills, CA 90210-4438 | 2018-07-25 |
| 1730691114 | Jessica Kim | Pharmacist | 1145 E Elmwood Ave, Burbank, CA 91501-1665 | 2017-10-25 |
| 1487053328 | Jessica Kim | Nurse Practitioner | 1 Clarks Hl Ste 305, Framingham, MA 01702-8172 | 2014-08-16 |
| 1578972741 | Jessica Kim | Pharmacist | 1864 Markley St, Norristown, PA 19401-2904 | 2014-08-12 |
| 1467879767 | Jessica Kim | Dietitian, Registered | 3912 10th St Se Ste 101, Puyallup, WA 98374-2188 | 2014-03-25 |
| 1972878973 | Jessica Lee Kim | Occupational Therapist | 12774 Jolette Ave, Granada Hills, CA 91344-1431 | 2012-03-09 |
| 1558656843 | Jessica S Kim | Dentist | 1111 Sixth Ave., #510, San Diego, CA 92101 | 2011-06-14 |
| 1902195811 | Jessica Kim | Student in an Organized Health Care Education/Training Program | 28 Centre Drive, Mailstop 416sa1, Milton, VT 05468 | 2011-03-31 |
| 1952901639 | Jessica Kim | Assistant Behavior Analyst | 1063 Mcgaw Ave, Irvine, CA 92614-5505 | 2020-10-30 |
| Street Address |
44100 JEFFERSON ST STE F |
| City | INDIO |
| State | CA |
| Zip Code | 92201-2715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295265072 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 44100 Jefferson St Ste F, Indio, CA 92201-2715 | 2017-06-14 |
| 1861041196 | Anh Duc Le | Pharmacist | 44100 Jefferson St Ste F, Indio, CA 92201-2715 | 2019-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174151534 | Kayla Marie Berry | Licensed Vocational Nurse | Telecare Riverside County Psychiatric Health Facility, Indio, CA 92201 | 2020-03-31 |
| 1699327353 | Nawar Hadid | Dentist | 81735 Ca-111, Indio, CA 92201 | 2019-07-12 |
| 1427521889 | Thanh Trang Thi Nguyen Md Inc | Internal Medicine | 44100 Jefferson St., #e507, Indio, CA 92201 | 2019-01-09 |
| 1306328315 | Grant Nishimura | Dentist | 81-637, Suite 1, Ca-111, Indio, CA 92201 | 2018-09-06 |
| 1700363645 | Desert Physical Medicine | General Practice | 81765 Highway 111, Ste #3, Indio, CA 92201 | 2018-07-24 |
| 1336668151 | U & I Care Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 44105 Jackson St Ste 204, Indio, CA 92201 | 2017-09-13 |
| 1154847234 | Myung Kee Park | Dentist | 81106 Ca-111, #c, Indio, CA 92201 | 2017-08-21 |
| 1912434937 | Mirage Home Health | Home Health | 82691 Miles Ave, Indio, CA 92201 | 2017-05-22 |
| 1497294821 | Orthopedic and Physical Medicine Associates Inc | Chiropractor | 81765 Hwy 111, #3, Indio, CA 92201 | 2017-02-17 |
| 1497103758 | Timothy Smith | Contractor | 81337 Avenida Romero, Indio, CA 92201 | 2016-05-27 |
| Find all providers in zip 92201 | ||||
| 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 |
|---|---|---|---|---|
| 1306446935 | Ryan Tran | Pharmacist | 81875 Avenue 48 Apt 171, Indio, CA 92201-6720 | 2020-11-01 |
| 1992156491 | Viet Quoc Tran | Pharmacist | 82270 Us Highway 111, Indio, CA 92201-5651 | 2016-06-26 |
| 1881081701 | Asuncion Lopez | Pharmacist | 42150 Jackson St Bldg A, Indio, CA 92203-9763 | 2015-04-17 |
| 1083028336 | Cornelius Van Der Linde | Pharmacist | 45527 Meadow Lake Dr, Indio, CA 92201-4998 | 2014-06-15 |
| 1649537671 | Anna M Geiger | Pharmacist | 80416 Apple Ct, Indio, CA 92201 | 2012-04-16 |
| 1174890313 | Kenneth Weifung Saw | Pharmacist | 82955 Avenue 48, Indio, CA 92201-6757 | 2011-11-16 |
| 1164705117 | Leonora Derecho | Pharmacist | 80307 Caprice Dr, Indio, CA 92203-4833 | 2011-09-26 |
| 1679855639 | Sharon J Seraphin | Pharmacist | 80588 Camino San Lucas, Indio, CA 92203-7451 | 2011-09-15 |
| 1568782480 | Mustafa Serkan Ozturk | Pharmacist | 82451 Us Highway 111 Ste C, Indio, CA 92201-5614 | 2010-06-02 |
| 1669083499 | Marjan Sharifi | Pharmacist | 82900 Avenue 42, Indio, CA 92203-9658 | 2020-08-14 |
| Find all providers in INDIO | ||||
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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.