MR. DONG JIN KIM (NPI# 1518358316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518358316 |
| Entity Type | Individual |
| Full Name | MR. DONG JIN KIM |
| Practice Address |
1651 Se Us Highway 19 Crystal River FL 34429-4830 |
| Mailing Address |
195 E Hartford St Apt 7a Hernando FL 34442-3390 |
| Practice Telephone | 3527940089 |
| Mailing Telephone | 3524190220 |
| Enumeration Date | 2015-02-15 |
| Last Update Date | 2015-02-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS41788 | FL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881971281 | Dong Jin Kim | Acupuncturist | 18 Sycamore Ave, Suite 2, Ho Ho Kus, NJ 07423-1582 | 2011-11-14 |
| Street Address |
1651 SE US HIGHWAY 19 |
| City | CRYSTAL RIVER |
| State | FL |
| Zip Code | 34429-4830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750701017 | Samson Merger Sub LLC | Durable Medical Equipment & Medical Supplies | 1651 Se Us Highway 19, Crystal River, FL 34429-4830 | 2014-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093324386 | Sydney M Mergler | Specialist/Technologist | 315 Ne 10th St, Crystal River, FL 34429 | 2020-07-23 |
| 1497255814 | Plantation Medical Care, Pa | Clinic/Center | 9030 W Fort Island Trl Ste 11b, Crystal River, FL 34429 | 2018-02-13 |
| 1356864599 | Jeri Leigh Anderson | Family Medicine | 6199 W. Gulf To Lake Hwy, Crystal River, FL 34429 | 2017-07-19 |
| 1982011706 | Bambi Ann Heyer | Nurse Practitioner | 659 Ne Hwy 19 Unit 1, Crystal River, FL 34429 | 2014-07-14 |
| 1982977120 | Life Soulutions | Community/Behavioral Health | 427 Ne 3rd St Ste C, Crystal River, FL 34429 | 2012-02-20 |
| 1073844296 | Richard C Swanson,dmd Pa | Clinic/Center | 1815 Se Hwy 19, Crystal River, FL 34429 | 2010-01-28 |
| 1710116520 | Albert M. Boholst | Surgery | 730 S.e. 5th Terrace, Crystal River, FL 34429 | 2009-07-14 |
| 1033353453 | Claire Annette Wirt | Mechanotherapist | 1925 Se Hwy 19, Crystal River, FL 34429 | 2009-04-29 |
| 1811134067 | John D. Hosner, D.d.s., P.a. | Dentist | 1118 N. Suncoast Blvd., Crystal River, FL 34429 | 2009-01-09 |
| 1396981528 | Meadowcrest Family Physicians, P.a. | Family Medicine | 1250 N Vantage Pt Dr, Crystal River, FL 34429 | 2008-12-17 |
| Find all providers in zip 34429 | ||||
| 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 |
|---|---|---|---|---|
| 1790104461 | James E. Hosch | Pharmacist | 2181 S Seaport Pt, Crystal River, FL 34429-5142 | 2014-04-10 |
| 1992129639 | Kady Rae Gonzalez | Pharmacist | 6201 North Suncoast Boulevard, Crystal River, FL 34428 | 2014-02-18 |
| 1952627788 | Philip A Cenatiempo | Pharmacist | 1801 Nw Hwy 19, Crystal River, FL 34428 | 2010-04-19 |
| 1770805616 | Joseph P Hoffman | Pharmacist | 1801 Nw Us Highway 19, Crystal River, FL 34428-6133 | 2010-02-19 |
| 1639778335 | Malissa Field Watson | Pharmacist | 327 Ne Us Highway 19, Crystal River, FL 34429-4234 | 2020-10-22 |
| 1699397182 | Nancy Ruth Reader | Pharmacist | 6201 N Suncoast Blvd, Crystal River, FL 34428-6712 | 2020-05-07 |
| 1043736465 | Mary Puckett Carroll | Pharmacist | 6201 N Suncoast Blvd, Crystal River, FL 34428-6712 | 2017-08-17 |
| 1720442163 | Michael William Odell | Pharmacist | 1801 Nw Us Highway 19, Crystal River, FL 34428-6133 | 2016-04-12 |
| 1578973574 | Jacqueline Runnels | Pharmacist | 6201 N Suncoast Blvd, Crystal River, FL 34428-6712 | 2014-04-30 |
| 1831510148 | Jerry Wayne Cummings | Pharmacist | 6201 N Suncoast Blvd, Crystal River, FL 34428-6712 | 2014-01-05 |
| Find all providers in CRYSTAL RIVER | ||||
| City | CRYSTAL RIVER |
| Zip Code | 34429 |
Please comment or provide details below to improve the information on MR. DONG JIN 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.