MR. MARIO I KIM (NPI# 1225247687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225247687 |
| Entity Type | Individual |
| Full Name | MR. MARIO I KIM |
| Credential | BS |
| Practice Address |
88 W Merrick Rd Freeport NY 11520-3710 |
| Mailing Address |
6152 Little Neck Pkwy Little Neck NY 11362-2419 |
| Practice Telephone | 5163778500 |
| Practice Fax Number | 5163778501 |
| Mailing Telephone | 7186318850 |
| Mailing Fax Number | 7186318850 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 046578 | NY | Pharmacy Service Providers |
| Street Address |
88 W MERRICK RD |
| City | FREEPORT |
| State | NY |
| Zip Code | 11520-3710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184949257 | Susan Kim | Pharmacist | 88 W Merrick Rd, Freeport, NY 11520-3710 | 2010-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881157154 | Barbara Chillemi | Registered Nurse | 56 Mackay Place, Freeport, NY 11520 | 2019-04-12 |
| 1588171631 | Lisa Frank | Nurse Practitioner | 150 Buffalo Ave, Freeport, NY 11520 | 2018-01-10 |
| 1447775838 | Julner Quettant Jr. | Physical Therapist | 63 St Marks Ave, Freeport, NY 11520 | 2017-08-07 |
| 1679003933 | Candice A R Greene | Speech-Language Pathologist | 12 Summers Place, Freeport, NY 11520 | 2017-06-19 |
| 1700310331 | Samantha Edwards | Psychologist | 6 Delisle Avenue, Freeport, NY 11520 | 2017-04-20 |
| 1275073769 | Dorothea Geiger | Behavior Technician | 90 Hillside Ave, Freeport, NY 11520 | 2017-03-02 |
| 1477092575 | Maryhaven Center of Hope,inc | Substance Abuse Rehabilitation Facility | 150 Buffalo Avenue, Freeport, NY 11520 | 2017-02-22 |
| 1861849135 | Daniel Lora | Acupuncturist | 140 Parsons Ave, Freeport, NY 11520 | 2016-05-17 |
| 1326413790 | Beatrice Jeanty | Registered Nurse | 619 South Long Beach Ave., Freeport, NY 11520 | 2015-12-10 |
| 1134505548 | Maria A. Meek | Nurse Practitioner | 334, West Merrick Rd., Freeport., NY 11520 | 2015-08-07 |
| Find all providers in zip 11520 | ||||
| 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 |
|---|---|---|---|---|
| 1013517713 | Saad Awan | Pharmacist | 2545 Illinois 26 S, Freeport, IL 61032 | 2020-10-30 |
| 1447894993 | Deon Edionwe | Pharmacist | 50 Bedell St, Freeport, NY 11520-4547 | 2019-10-28 |
| 1235308362 | Churk H Lui | Pharmacist | 403 Atlantic Avenue, Freeport, NY 11520 | 2008-02-22 |
| 1356522775 | Elizabeth Ann Zadrozny | Pharmacist | 114 S Long Beach Ave, Freeport, NY 11520-3441 | 2007-11-14 |
| 1063620151 | Howard Anthony Norman | Pharmacist | 777 S Carthage Dr, Freeport, IL 61032-4413 | 2007-05-20 |
| 1053448944 | James Edward Kinscherff | Pharmacist | 1512 S West Ave, Freeport, IL 61032-6702 | 2007-02-27 |
| 1730270083 | 179atlantic Inc | Pharmacist | 179 Atlantic Ave, Freeport, NY 11520-4922 | 2006-09-28 |
| 1659476281 | Garlon Ray Weeks | Pharmacist | 132 East Hwy 20, Freeport, FL 32439 | 2006-09-14 |
| 1366413049 | Christopher Ray Weeks | Pharmacist | 132 E Hwy 20, Freeport, FL 32439 | 2006-01-30 |
| 1225639727 | Benjamin Min Hyun Donovan | Pharmacist | 89 Henry St, Freeport, NY 11520-3906 | 2020-11-03 |
| Find all providers in FREEPORT | ||||
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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.