JOANNA JONGAE KIM (NPI# 1366058794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366058794 |
| Entity Type | Individual |
| Full Name | JOANNA JONGAE KIM |
| Other Name | DR. JOANNA J KIM |
| Credential | PHARM.D |
| Practice Address |
1020 S Anaheim Blvd Ste 101 Anaheim CA 92805-5807 |
| Mailing Address |
951 Starbuck St Apt 329 Fullerton CA 92833-5723 |
| Practice Telephone | 7148643730 |
| Mailing Telephone | 7148534311 |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2020-09-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | 82034 | CA | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740658574 | Joanna Jandee Kim | Student in an Organized Health Care Education/Training Program | 19700 S Vermont Ave, Suite 250, Torrance, CA 90502-1100 | 2015-09-10 |
| 1083034847 | Joanna Seongjin Kim | Nurse Practitioner | 22 S Greene St, Department of Orthopaedics, Baltimore, MD 21201-1544 | 2014-04-21 |
| Street Address |
1020 S ANAHEIM BLVD STE 101 |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92805-5807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841840097 | Jesus Jaime Rodriguez | Technician | 805 N. Pauline St., Anaheim, CA 92805 | 2019-09-18 |
| 1225680994 | Michael Cross | Counselor | 710 N. Anaheim Blvd Anaheim, Ca 92805, 710 N.anaheim Blvd, Anaheim, CA 92805 | 2019-07-12 |
| 1588123459 | Dania Jesri | Behavior Technician | 300 N Avelia Way, Anaheim, CA 92805 | 2019-03-19 |
| 1346708872 | Tiffany Chauvet | Behavior Technician | 1300 East Orangewood Ave, Anaheim, CA 92805 | 2019-03-04 |
| 1972087740 | Jehanzeb Shahab Khairi | Behavior Technician | 3101 E Orangewood Ave, Anaheim, CA 92805 | 2018-09-18 |
| 1033693825 | Baotran Minh Le | Behavior Technician | 3101 E. Orangewood Ave., Anaheim, CA 92805 | 2018-09-18 |
| 1841778354 | Jonathan Besuamlak | Behavior Technician | 1301 E. Orangewood Ave., Anaheim, CA 92805 | 2018-08-06 |
| 1700364973 | Erica Vanderlinden | Behavioral Analyst | 1301 East Orangewood Avenue, Anaheim, CA 92805 | 2018-07-31 |
| 1578054391 | Us Care Transportation LLC | Non-emergency Medical Transport (VAN) | 248 S Seneca Cir, Anaheim, CA 92805 | 2018-05-29 |
| 1578081691 | Christopher Mills | Counselor | 1025 S. Anaheim Blvd, Anaheim, CA 92805 | 2017-09-08 |
| Find all providers in zip 92805 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245739028 | Medi Ex Pharmacy, Inc | Pharmacy | 1067 N State College Blvd, Anaheim, CA 92806-2702 | 2018-02-07 |
| 1366993560 | Santa Maria Pharmacy Inc | Pharmacy | 1224 S Brookhurst St, Anaheim, CA 92804-5419 | 2016-10-23 |
| 1427498450 | Telnet-rx Inc | Pharmacy | 2129 E Ball Rd, Anaheim, CA 92806-5127 | 2013-07-05 |
| 1629334362 | Kaiser Foundation Health Plan Inc | Pharmacy | 3430 E La Palma Ave Bldg 2, Anaheim, CA 92806-2020 | 2012-04-06 |
| 1396034591 | Theresa Pharmacy Inc | Pharmacy | 9860 Katella Ave, Anaheim, CA 92804-6418 | 2011-03-29 |
| 1992027577 | Aum Pharmaceuticals Inc | Pharmacy | 869 South East Street, Anaheim, CA 92805 | 2010-02-23 |
| 1881783439 | Big A Drug Stores Inc | Pharmacy | 9922 Katella Ave, Garden Grove Town Center, Anaheim, CA 92804-6419 | 2006-10-12 |
| 1952490286 | Janet Pharmacy Enterprises Inc | Pharmacy | 5596 E La Palma Ave, Anaheim, CA 92807-2108 | 2006-10-12 |
| 1073524567 | Pharmacy Plus | Pharmacy | 1012 N Euclid St, Anaheim, CA 92801-3634 | 2006-08-10 |
| 1215983218 | Albertsons LLC | Pharmacy | 810 S State College Blvd, Anaheim, CA 92806 | 2006-05-25 |
| Find all providers in ANAHEIM | ||||
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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.