SUJIN KIM (NPI# 1336596006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336596006 |
| Entity Type | Individual |
| Full Name | SUJIN KIM |
| Credential | PH60639568 |
| Practice Address |
305 Cooper Point Rd Nw #103 Olympia WA 98502-4436 |
| Mailing Address |
800 Yauger Way Sw Unit B202 Olympia WA 98502 |
| Practice Telephone | 3607548014 |
| Practice Fax Number | 3607540778 |
| Mailing Telephone | 4255075078 |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2016-05-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PH60639568 | WA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371003 | Sujin Kim | Physician Assistant | 500 Grand Ave Ste 201, Englewood, NJ 07631-4968 | 2019-11-27 |
| 1770887408 | Sujin G Kim | Podiatrist | 1229 N North Branch St, Suite 308, Chicago, IL 60642-2473 | 2011-01-10 |
| Street Address |
305 COOPER POINT RD NW #103 |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98502-4436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376835702 | Hassana Iredia | Pharmacist | 305 Cooper Point Rd Nw, Suite 105, Olympia, WA 98502-4436 | 2011-05-03 |
| 1225647506 | William Kyle Davis | Pharmacist | 305 Cooper Point Rd Nw, Olympia, WA 98502-4436 | 2020-07-23 |
| 1427459635 | Charmaine Yevette Sanders | Pharmacist | 305 Cooper Point Rd Nw, Store #05278 Rite Aid, Olympia, WA 98502-4436 | 2014-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801409172 | Fanny Cordero | Interpreter | 1415 4th Ave W, Olympia, WA 98502 | 2020-08-26 |
| 1235762832 | Accessible Living Physical Therapy | Clinic/Center | 3524 7th Ave Se, Olympia, WA 98502 | 2020-02-21 |
| 1548807738 | Kaiser Foundation Health Plan of Washington | Pharmacy | 1200 Cooper Point Road Sw, Suite 100, Olympia, WA 98502 | 2019-12-06 |
| 1851946388 | Katherine Ann Vitela | Registered Nurse | 4909 Green Wood Dr Sw, Olympia, WA 98502 | 2019-08-01 |
| 1538632658 | Carmen Rae Breding | Massage Therapist | 2627 Capital Mall Dr Se, Olympia, WA 98502 | 2019-01-11 |
| 1285129155 | Fook Yee Cheung | Genetic Counselor, MS | 2010 Caton Way Sw Ste 102, Olympia, WA 98502 | 2018-06-24 |
| 1942724158 | William Coburn | Specialist/Technologist | 703 Lilly Road Ne, Suite 104, Olympia, WA 98502 | 2017-07-29 |
| 1225567415 | Thierry Buckner | Counselor | 2400 Bristol Court Sw, Olympia, WA 98502 | 2017-06-09 |
| 1619406048 | Trenton Reid | Massage Therapist | 2103 Harrison Ave Nw #2642, Olympia, WA 98502 | 2017-06-08 |
| 1962807305 | Richa Mehta | Dentist | 1530 Black Lake Boulevard, Suite A103, Olympia, WA 98502 | 2014-10-28 |
| Find all providers in zip 98502 | ||||
| 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 |
|---|---|---|---|---|
| 1891341715 | Meridan Kimball Pickett | Pharmacist | 4040 Gull Harbor Rd Ne, Olympia, WA 98506-2457 | 2019-08-15 |
| 1811467384 | James Perrou | Pharmacist | 400 Yauger Way Sw Ste B, Olympia, WA 98502-8140 | 2018-11-28 |
| 1861910978 | Thao Vi Tran Le | Pharmacist | 305 Cooper Point Rd Nw # 103, Olympia, WA 98502-4436 | 2017-09-08 |
| 1790235679 | Hyaera Lee | Pharmacist | 1100 Fern St Sw Apt 34-201, Olympia, WA 98502-1136 | 2016-10-04 |
| 1245600683 | Adis Ceric | Pharmacist | 5322 Camelot Dr Sw, Olympia, WA 98512-1941 | 2015-09-28 |
| 1396111654 | Arthur Kirk | Pharmacist | 2323 9th Ave Sw Apt 17-104, Olympia, WA 98502-5178 | 2015-08-20 |
| 1679949689 | Jonathan Schilperoort | Pharmacist | 9237 Windsor Ln Ne Apt 103, Olympia, WA 98516-5987 | 2015-08-13 |
| 1326446220 | Mary Lindberg | Pharmacist | 1908 4th Ave E Ste A, Olympia, WA 98506-4632 | 2014-12-09 |
| 1457753212 | Jon Aal | Pharmacist | 5726 Mclane Creek Ct Sw, Olympia, WA 98512-2830 | 2014-09-23 |
| 1679981369 | Gina Stamp | Pharmacist | 2539 Simon Ln Ne, Olympia, WA 98506-3553 | 2014-07-26 |
| Find all providers in OLYMPIA | ||||
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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.