JIMIN SUN (NPI# 1447858931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447858931 |
| Entity Type | Individual |
| Full Name | JIMIN SUN |
| Practice Address |
3455 Peachtree Industrial Blvd Duluth GA 30096-6501 |
| Practice Telephone | 7704767985 |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2020-10-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
020906 | GA | Pharmacy Service Providers |
| Street Address |
3455 PEACHTREE INDUSTRIAL BLVD |
| City | DULUTH |
| State | GA |
| Zip Code | 30096-6501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982607222 | Medical Aid Supply House Inc | Prosthetic/Orthotic Supplier | 3455 Peachtree Industrial Blvd, Ste 980, Duluth, GA 30096-6506 | 2005-05-31 |
| 1639778459 | Calvin So | Pharmacist | 3455 Peachtree Industrial Blvd, Duluth, GA 30096-6501 | 2020-10-22 |
| 1053910018 | Lora Sue Henderson | Pharmacist | 3455 Peachtree Industrial Blvd, Duluth, GA 30096-6501 | 2020-10-21 |
| 1851921092 | Laurel Ip | Pharmacist | 3455 Peachtree Industrial Blvd, Duluth, GA 30096-6501 | 2020-01-15 |
| 1922476308 | Pt Solutions of Acworth, LLC | Physical Therapist | 3455 Peachtree Industrial Blvd, Suite 825, Duluth, GA 30096-6501 | 2015-09-02 |
| 1790152858 | Fabius Clements Iv | Optometrist | 3455 Peachtree Industrial Blvd, Suite 845, Duluth, GA 30096-6501 | 2015-08-25 |
| 1730304858 | Lisa Mary Brodsky | Dentist | 3455 Peachtree Industrial Blvd, Ste. 805, Duluth, GA 30096-6501 | 2007-04-16 |
| 1619093531 | Gwinnett Eye Clinic | Optometrist | 3455 Peachtree Industrial Blvd, Suite 845, Duluth, GA 30096-6501 | 2007-03-22 |
| 1184703464 | Phillip E Johnson | Optometrist | 3455 Peachtree Industrial Blvd, Suite 845, Duluth, GA 30096-6501 | 2006-11-06 |
| 1548285224 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 3455 Peachtree Industrial Blvd, Duluth, GA 30096-6501 | 2006-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615897 | Georgia Eye Optical, LLC | Ophthalmology | 3800 Pleasant Hill Rd Ste 3, Duluth, GA 30096 | 2020-09-25 |
| 1568090868 | Positive Behavior Services, Inc | Behavior Technician | 3765 Crestwood Pkwy Nw, Duluth, GA 30096 | 2020-03-31 |
| 1861031940 | Elizabeth Ashley Edouard | Counselor | 3464 Duluth Hwy 120, Duluth, GA 30096 | 2020-01-06 |
| 1245701044 | Kathryn Irene Vaughn | Social Worker | 3968 Mainsail Court, Duluth, GA 30096 | 2018-12-06 |
| 1083184626 | Aica Orthopedics, P.C. | Orthopaedic Surgery | 3775 Venture Drive Bldg F, Duluth, GA 30096 | 2018-11-27 |
| 1245709799 | Positive Impact Health Centers, Inc. | Pharmacy | 3350 Breckinridge Blvd, Suite 200a, Duluth, GA 30096 | 2018-11-14 |
| 1235611724 | Katherine Winstead Knott | Counselor | 3460 Summit Ridge Parkway, Suite 503, Duluth, GA 30096 | 2018-08-31 |
| 1710467857 | Envision Optics LLC | Optometrist | 1943 Pleasant Hill Rd, Duluth, GA 30096 | 2018-08-17 |
| 1104314202 | Erin Mckernan Scupham | Chiropractor | 3820 Pleasant Hill Rd. Ne, Suite 4, Duluth, GA 30096 | 2018-04-25 |
| 1053839456 | Rogers Bridge Pediatric Therapy, LLC | Clinic/Center | 2845 Summercrest Ln, Duluth, GA 30096 | 2017-09-06 |
| Find all providers in zip 30096 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386277820 | Cristina Madalina Niculas | Pharmacist | Kroger Pharmacy 476, 6555 Sugarloaf Parkway, Duluth, GA 30097 | 2020-02-12 |
| 1396170841 | Daniel Bruce Salzwedel | Pharmacist | 3355 Mcdaniel Rd Apt 1304, Duluth, GA 30096-8618 | 2013-09-03 |
| 1053919886 | Joseph Andrews | Pharmacist | 6555 Sugarloaf Pkwy, Duluth, GA 30097-4930 | 2020-10-14 |
| 1093326076 | Nganthuy Le Tran | Pharmacist | 3093 Steve Reynolds Blvd, Duluth, GA 30096-4501 | 2020-08-12 |
| 1508497132 | Carla Coomes Schafer | Pharmacist | 6555 Sugarloaf Pkwy, Duluth, GA 30097-4930 | 2020-02-02 |
| 1417588096 | Halliday Johnson Norman | Pharmacist | 3093 Steve Reynolds Blvd, Duluth, GA 30096-4501 | 2020-01-31 |
| 1295177640 | Cassandra Lynn Furr | Pharmacist | 420 E 1st St, Duluth, MN 55805-1901 | 2013-07-26 |
| 1023393220 | David Michael Malenowski I | Pharmacist | 1201 Miller Trunk Hwy, Duluth, MN 55811-5633 | 2011-10-19 |
| 1609151240 | Timothy James Blanck | Pharmacist | 3980 Venture Dr, Duluth, GA 30096-5077 | 2011-10-14 |
| 1063791911 | Teri L Laurenti | Pharmacist | 3650 Steve Reynolds Blvd, Duluth, GA 30096-4506 | 2011-08-10 |
| Find all providers in DULUTH | ||||
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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.