MS. KATIE D KIM (NPI# 1467621300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467621300 |
| Entity Type | Individual |
| Full Name | MS. KATIE D KIM |
| Practice Address |
19 Ave At Port Imperial West New York NJ 07093 |
| Mailing Address |
189 Palisade Ave 2a Cliffside Park NJ 07010-1257 |
| Practice Telephone | 2012721171 |
| Mailing Telephone | 9732141335 |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2008-02-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | PS32657 | FL | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 28RI02544200 | NJ | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | PS32657 | 05 | |
| NJ | 28RI02544200 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548631013 | Katie Kim | Pharmacist | 7170 San Carmela Ct, Rancho Cucamonga, CA 91739-1874 | 2015-10-09 |
| 1518047208 | Katie Y Kim | Pharmacist | Ms. Susanne C. Shetrone, Credentials Coordinator, Apo, AP 96205-0054 | 2006-10-17 |
| 1023624541 | Katie Joohee Kim | Dentist | 935 Riverdale St, West Springfield, MA 01089-4656 | 2020-09-21 |
| 1922624865 | Katie Lauren Kim | Physician Assistant | 4810 Whitesport Cir Sw Ste 110, Huntsville, AL 35801-7439 | 2020-06-16 |
| 1467918508 | Katie Kim | Student in an Organized Health Care Education/Training Program | 4401 Penn Ave, 3rd Floor Bear Pod, Pittsburgh, PA 15224-1334 | 2019-02-13 |
| 1205259652 | Katie Joohee Kim | Registered Nurse | 400 N Pepper Ave, Colton, CA 92324-1801 | 2014-01-21 |
| 1174964845 | Katie Ruble Kim | Physician Assistant | 301 E Hillcrest Ave, Indianola, IA 50125-9027 | 2013-07-10 |
| 1336288893 | Katie Y. Kim | Dentist | 1199 N E St, San Bernardino, CA 92410-3507 | 2007-02-05 |
| 1164579447 | Katie H Kim | Dentist | 2505 S 320th St, Federal Way, WA 98003-5400 | 2007-01-05 |
| Street Address |
19 AVE AT PORT IMPERIAL |
| City | WEST NEW YORK |
| State | NJ |
| Zip Code | 07093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356566749 | Great Atlantic & Pacific Tea Co., Inc. | Durable Medical Equipment & Medical Supplies | 19 Ave At Port Imperial, West New York, NJ 07093 | 2007-04-13 |
| 1598132342 | Acme Markets Inc | Durable Medical Equipment & Medical Supplies | 19 Ave At Port Imperial, West New York, NJ 07093 | 2015-08-27 |
| 1437493095 | Jieun Lee | Pharmacist | 19 Ave At Port Imperial, West New York, NJ 07093-8413 | 2012-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235745225 | Denmari Berberabe | Physical Therapist | 6000 John F. Kennedy Boulevard, West New York, NJ 07093 | 2020-09-16 |
| 1801409321 | William T Chen | Pharmacist | 6012 Kennedy Boulevard, West New York, NJ 07093 | 2020-08-25 |
| 1598374050 | Benita Strickland | Physical Therapy Assistant | 6000 John F. Kennedy Blvd, West New York, NJ 07093 | 2020-07-30 |
| 1053964809 | Santvana Vyas | Dentist | 6020 Broadway, Fl#2, West New York, NJ 07093 | 2019-07-22 |
| 1043875552 | Natalya V Fryazin | Counselor | 444 60th St., 2nd Flr, West New York, NJ 07093 | 2019-05-09 |
| 1558844209 | Merrideth Kennedy | Occupational Therapist | 6612-18 Bergenline Ave, West New York, NJ 07093 | 2018-09-10 |
| 1578072385 | Allied Healthcare Diagnostics | Radiology | 560 60th Street, Suite A, West New York, NJ 07093 | 2017-09-25 |
| 1265889695 | Bilingual Counseling Services, LLC | Community/Behavioral Health | 574 67th Street, Apt 2, West New York, NJ 07093 | 2016-05-16 |
| 1083079297 | Dino Pascual | Registered Nurse | 25 Port Imperial Avenue, Apt. 111, West New York, NJ 07093 | 2015-12-15 |
| 1992179469 | Diane A Doucet | Behavioral Analyst | 140 65th St, Apt 1, West New York, NJ 07093 | 2015-11-21 |
| Find all providers in zip 07093 | ||||
| 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 |
|---|---|---|---|---|
| 1801409321 | William T Chen | Pharmacist | 6012 Kennedy Boulevard, West New York, NJ 07093 | 2020-08-25 |
| 1033502349 | Jina Rim | Pharmacist | 11 Ave At Port Imperial, 608, West New York, NJ 07093-7101 | 2015-03-11 |
| 1821488263 | Mahesh Parashotam Koladiya | Pharmacist | 101, 64th Street, Apt # A1, West New York, NJ 07093-5460 | 2015-01-23 |
| 1285992784 | Yana Grinberg | Pharmacist | 6601 Bergenline Ave, West New York, NJ 07093-1703 | 2012-05-03 |
| 1295027951 | Irina Olifer | Pharmacist | 19 Ave. At Port Imperial, West New York, NJ 07093-3599 | 2011-05-12 |
| 1144537101 | Dwight Randolph Montfort | Pharmacist | 5313 Hudson Ave, West New York, NJ 07093 | 2010-09-10 |
| 1518191857 | Hirna Shah | Pharmacist | 5706 Bergenline Ave, West New York, NJ 07093-1230 | 2009-05-14 |
| 1598824310 | Ileana Dominguez | Pharmacist | 6000 Park Ave, West New York, NJ 07093-3716 | 2006-12-07 |
| 1114536851 | Asmaa Alarosy | Pharmacist | 5706 Bergenline Ave, West New York, NJ 07093-1230 | 2020-07-29 |
| 1245749365 | Aisha Javaid Cheema | Pharmacist | 5408 Park Ave, West New York, NJ 07093-3517 | 2017-09-20 |
| Find all providers in WEST NEW YORK | ||||
| City | WEST NEW YORK |
| Zip Code | 07093 |
Please comment or provide details below to improve the information on MS. KATIE D 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.