TIMOTHY SUNGMAN KIM (NPI# 1376913459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376913459 |
| Entity Type | Individual |
| Full Name | TIMOTHY SUNGMAN KIM |
| Credential | PHARMD |
| Practice Address |
12109 Apple Valley Rd Apple Valley CA 92308-6702 |
| Practice Telephone | 7602405896 |
| Mailing Telephone | 7602405896 |
| Enumeration Date | 2015-10-01 |
| Last Update Date | 2016-09-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 73380 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295176121 | Timothy Kim | Pharmacist | 162 Wildey, Tarrytown, NY 10591 | 2013-07-08 |
| 1265532477 | Timothy S Kim | Dentist | 1 Lincoln Highway, Suite 6, Edison, NJ 08820 | 2006-09-25 |
| 1609482587 | Timothy Y Kim | Dentist | 3230 Sepulveda Blvd, Torrance, CA 90505-2719 | 2020-09-16 |
| 1982263299 | Timothy Suyong Kim | Student in an Organized Health Care Education/Training Program | 200 Lothrop Street, Office of Education N715 Department of Medicine, Pittsburgh, PA 15213 | 2019-06-10 |
| 1972069276 | Timothy Kim | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2019-02-12 |
| 1023588324 | Timothy Yushin Kim | Student in an Organized Health Care Education/Training Program | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2018-11-29 |
| 1245725381 | Timothy Kim | Dentist | 1560 W Lacey Blvd Ste 107, Hanford, CA 93230-3587 | 2018-06-29 |
| 1720572399 | Timothy J Kim | Dentist | 1 Kneeland St, Boston, MA 02111-1527 | 2018-06-18 |
| 1003331802 | Timothy Kim | Student in an Organized Health Care Education/Training Program | 3626 Balboa St, San Francisco, CA 94121-2604 | 2017-08-14 |
| 1033645171 | Timothy Kim | Student in an Organized Health Care Education/Training Program | 1430 John Wesley Gilbert Dr, Augusta, GA 30912-0001 | 2017-05-11 |
| Street Address |
12109 APPLE VALLEY RD |
| City | APPLE VALLEY |
| State | CA |
| Zip Code | 92308-6702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871540948 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 12109 Apple Valley Rd, Apple Valley, CA 92308-6702 | 2006-05-27 |
| 1194195057 | Lisa Ammon | Pharmacist | 12109 Apple Valley Rd, Apple Valley, CA 92308-6702 | 2015-10-03 |
| 1295019297 | Jeong Lee | Pharmacist | 12109 Apple Valley Rd, Apple Valley, CA 92308 | 2011-10-10 |
| 1134410160 | Donovan Tran | Pharmacist | 12109 Apple Valley Rd, Apple Valley, CA 92308-6702 | 2011-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144831850 | Lisa K Frandsen | Behavioral Analyst | 19794 Poppy Rd, Apple Valley, CA 92308 | 2020-08-14 |
| 1518484195 | Jennifer Redwine | Behavioral Analyst | 1905 Business Center Drive South, Unit 100, San Bernardino, CA 92308 | 2017-08-24 |
| 1508397100 | West Care Transportation | Non-emergency Medical Transport (VAN) | 15480 Straight Arrow Rd #b, Apple Valley, CA 92308 | 2017-03-24 |
| 1811346497 | E Kim Dental Corp | Dentist | 21580 Bear Valley Rd., Ste B2-2, Apple Valley, CA 92308 | 2016-06-06 |
| 1134575376 | Seth Owuor | Pharmacist | 14426 Palmdale Road, Victorville, CA 92308 | 2016-05-06 |
| 1043608763 | Kamal Ebadpour | Adult Companion | 13224 Iroquois Road, Apple Valley, CA 92308 | 2015-01-05 |
| 1487099669 | Hateem Siddiqui | Internal Medicine | 19059 Bear Valley Rd # 3, Apple Valley, CA 92308 | 2013-05-01 |
| 1225305618 | Edward N. Sianipar | Nurse Practitioner | 19059 Bear Valley Rd., #1, Apple Valley, CA 92308 | 2011-11-29 |
| 1043508559 | Southern California Primary Medical Inc | Clinic/Center | 19341 Bear Valley Rd Ste 101, Apple Valley, CA 92308 | 2011-07-18 |
| 1396070959 | Asghar Ali Rajani | Registered Nurse | 19059 Bear Valley Road, Apple Valley, CA 92308 | 2009-10-14 |
| Find all providers in zip 92308 | ||||
| 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 |
|---|---|---|---|---|
| 1659780534 | Relena Tran | Pharmacist | 20251 Highway 18, Apple Valley, CA 92307 | 2014-08-05 |
| 1508290644 | Nari Kim | Pharmacist | 21650 Outer Hwy 18, Apple Valley, CA 92307-3990 | 2013-08-26 |
| 1578847745 | Ahmed M Abou-el-seoud | Pharmacist | 21650 Outer Highway 18, Apple Valley, CA 92307-3990 | 2011-10-05 |
| 1205127123 | Quang Thien Nguyen | Pharmacist | 20250 Us Highway 18, Apple Valley, CA 92307-2937 | 2011-04-26 |
| 1962723221 | Dipakkumar B Shah | Pharmacist | 19035 Bear Valley Rd, Apple Valley, CA 92308-2712 | 2010-06-21 |
| 1053638056 | Phil Edward Whiting | Pharmacist | 12253 Apple Valley Rd, Apple Valley, CA 92308-1701 | 2010-04-29 |
| 1538252119 | Miles Richard Lahr | Pharmacist | 15560 Pilot Knob Rd, Apple Valley, MN 55124-7286 | 2006-10-02 |
| 1851359111 | Jonathan Hung Budge | Pharmacist | 19201 Bear Valley Rd, Apple Valley, CA 92308-6763 | 2006-05-03 |
| 1598364515 | Brett Stolberg | Pharmacist | 14940 Florence Trl, Apple Valley, MN 55124-4628 | 2020-10-21 |
| 1083213193 | Shawn Holm | Pharmacist | 7835 150th St W, Apple Valley, MN 55124-7181 | 2020-10-20 |
| Find all providers in APPLE VALLEY | ||||
| City | APPLE VALLEY |
| Zip Code | 92308 |
Please comment or provide details below to improve the information on TIMOTHY SUNGMAN KIM.
| 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.