YOUNG S SHIN (NPI# 1336636729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336636729 |
| Entity Type | Individual |
| Full Name | YOUNG S SHIN |
| Credential | PHARMD |
| Practice Address |
633 W Tietan St Walla Walla WA 99362-4329 |
| Practice Telephone | 5095291570 |
| Practice Fax Number | 5095295283 |
| Mailing Telephone | 5095291570 |
| Mailing Fax Number | 5095295283 |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2018-04-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PH60833929 | WA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487791737 | Young Kyu Shin | Chiropractor | 9192 Garden Grove Blvd, #a, Garden Grove, CA 92844 | 2007-01-30 |
| 1225199219 | Young Cheol Shin | Specialist | 525 Beards Hill Rd, Aberdeen, MD 21001-1831 | 2006-12-13 |
| 1962057430 | Young Shin | Physical Therapist | 17270 Bear Valley Rd Ste 105, Victorville, CA 92395-7751 | 2019-08-01 |
| 1114460565 | Young Shin | Nurse Practitioner | 2101 Rosecrans Ave # 3230, El Segundo, CA 90245-4749 | 2016-12-01 |
| 1497148498 | Young Shin | Pharmacist | 1020 University Ave, San Diego, CA 92103-7325 | 2015-03-15 |
| 1104256015 | Young Shin | Dentist | 6201 Roosevelt Rd, Berwyn, IL 60402-1108 | 2013-11-14 |
| 1316979677 | Young Se Shin | Acupuncturist | 9828 Garden Grove Blvd, Ste 106, Garden Grove, CA 92844-1639 | 2006-07-07 |
| 1376584516 | Young H Shin | Obstetrics & Gynecology | 1991 Marcus Ave, New Hyde Park, NY 11042-2057 | 2006-06-09 |
| 1366410995 | Young Shin | Internal Medicine | 2111 Claremont Ave, Ashland, OH 44805 | 2006-03-09 |
| 1447220884 | Young J Shin | Psychiatry & Neurology | 230 North Rd, Poughkeepsie, NY 12601 | 2006-01-26 |
| Street Address |
633 W TIETAN ST |
| City | WALLA WALLA |
| State | WA |
| Zip Code | 99362-4329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407949068 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 633 W Tietan St, Walla Walla, WA 99362-4329 | 2006-10-02 |
| 1982249389 | Thao Trang Thi Le | Pharmacist | 633 W Tietan St, Walla Walla, WA 99362-4329 | 2019-11-10 |
| 1073095584 | Deborah Johnson | Pharmacist | 633 W Tietan St, Walla Walla, WA 99362-4329 | 2018-08-30 |
| 1871962910 | Euna Oh | Pharmacist | 633 W Tietan St, Walla Walla, WA 99362-4329 | 2015-09-18 |
| 1043609431 | Jon Granbois | Pharmacist | 633 W Tietan St, Walla Walla, WA 99362-4329 | 2015-01-22 |
| 1861722761 | Christopher Torrisi | Pharmacist | 633 W Tietan St, Walla Walla, WA 99362-4329 | 2009-12-28 |
| 1740519636 | Rebecca Megan Shay | Pharmacist | 633 W Tietan St, Walla Walla, WA 99362-4329 | 2009-12-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164065959 | Kevin Gia-minh Phan | Optometrist | Walla Walla Vamc Bldg 86, Walla Walla, WA 99362 | 2019-10-24 |
| 1659836401 | Arlene Lavonne Whitney | Social Worker | 1361 Dalles Military Road, Walla Walla, WA 99362 | 2019-02-06 |
| 1053880674 | Julie Ann Cooke | Speech-Language Pathologist | Providence St. Mary Medical Center, 401 W. Poplar St., Walla Walla, WA 99362 | 2018-11-14 |
| 1558887133 | Chantey Walker | Massage Therapist | 1840 Pleasant St, Walla Walla, WA 99362 | 2017-08-16 |
| 1447798723 | Carrie S Diede | Speech-Language Pathologist | 410 West Poplar Street, Rehabilitation Services, Walla Walla, WA 99362 | 2017-02-07 |
| 1235584103 | Anchor Point Counseling Pllc | Clinic/Center | 2330 Eastgate St. Ste. 140, Walla Walla, WA 99362 | 2016-04-28 |
| 1548627011 | Washington State Walla Walla Veterans Home | Skilled Nursing Facility | 92 Wainwright Drive, Walla Walla, WA 99362 | 2016-01-28 |
| 1073926200 | Sherry Goff | Registered Nurse | 11120 W Rose St, Family Medical Center, Walla Walla, WA 99362 | 2014-06-05 |
| 1538597935 | Michael Wade Gillespie | Orthopaedic Surgery | 101 Brookside Drive, Walla Walla, WA 99362 | 2013-10-22 |
| 1023357985 | Sandra Kay Bushnell | Speech-Language Pathologist | 1105 Isaacs Ave, Walla Walla, WA 99362 | 2013-02-12 |
| Find all providers in zip 99362 | ||||
| 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 |
|---|---|---|---|---|
| 1790042273 | Brett Louis Kittle | Pharmacist | 195 Assumption Dr, Walla Walla, WA 99362-2608 | 2012-04-20 |
| 1194082891 | Sarah Anne Zaro | Pharmacist | 1104 Mill Creek Rd, Walla Walla, WA 99362-8417 | 2012-04-19 |
| 1609166040 | Cha Yeon Baik | Pharmacist | 2028 E Isaacs Ave, Walla Walla, WA 99362-2214 | 2011-04-19 |
| 1053616854 | Hiwot Bekele | Pharmacist | 2222 E Isaacs Ave, Apt # E 101, Walla Walla, WA 99362-2212 | 2011-01-26 |
| 1790883619 | Jerry Steve Rich | Pharmacist | 2415 Country Club Rd, Walla Walla, WA 99362-9261 | 2006-09-21 |
| 1538267950 | Justin Bassett Averett | Pharmacist | 77 Wainwright Dr (119), Walla Walla, WA 99362-3975 | 2006-09-20 |
| 1154316958 | Luke Adam Dunn | Pharmacist | 1600 W Rose St, Walla Walla, WA 99362-1771 | 2005-09-17 |
| 1063413334 | Barry Michael Mallard | Pharmacist | 1025 S 2nd Ave, Walla Walla, WA 99362-4116 | 2005-08-09 |
| 1609476605 | Aimy Ung | Pharmacist | 401 W Poplar St, Walla Walla, WA 99362-2846 | 2020-10-28 |
| 1043856578 | Robert John Brawders | Pharmacist | 401 W Poplar St, Walla Walla, WA 99362-2846 | 2019-11-19 |
| Find all providers in WALLA WALLA | ||||
| City | WALLA WALLA |
| Zip Code | 99362 |
Please comment or provide details below to improve the information on YOUNG S SHIN.
| 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.