SEONGEUN KIM (NPI# 1558969212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558969212 |
| Entity Type | Individual |
| Full Name | SEONGEUN KIM |
| Credential | PHARM.D |
| Practice Address |
12105 Pacific Ave S Tacoma WA 98444-5124 |
| Mailing Address |
288 111th Ave Ne Apt 301 Bellevue WA 98004-5161 |
| Practice Telephone | 2535359302 |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2020-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
PH60973688 | WA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366957763 | Seongeun Kim | Physical Therapist | 6860 Austin St Ste 307, Forest Hills, NY 11375-4223 | 2017-12-06 |
| Street Address |
12105 PACIFIC AVE S |
| City | TACOMA |
| State | WA |
| Zip Code | 98444-5124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497762371 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 12105 Pacific Ave S, Tacoma, WA 98444-5124 | 2006-08-02 |
| 1336539311 | Joyce Smith | Pharmacist | 12105 Pacific Ave S, Tacoma, WA 98444-5124 | 2015-01-29 |
| 1538445929 | Madhioli Swaminathan | Pharmacist | 12105 Pacific Ave S, Tacoma, WA 98444-5124 | 2011-10-29 |
| 1891090999 | Sunil Dulla | Pharmacist | 12105 Pacific Ave S, Tacoma, WA 98444-5124 | 2011-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356820039 | Reuben Edward Robinson | Massage Therapist | 10603 16th Avenue Ct S Apt 8, Tacoma, WA 98444 | 2018-08-13 |
| 1720507601 | Jayna Marie Owens | Counselor | 14016 A Street South, Tacoma, WA 98444 | 2017-09-12 |
| 1578011425 | Kyleigh Harlow | Dietitian, Registered | 11011 Park Ave S, C212, Tacoma, WA 98444 | 2016-09-20 |
| 1104220565 | Kehau Tester | Specialist | 9020 A Street, Tacoma, WA 98444 | 2014-10-14 |
| 1669874061 | Andrea Dawn Mckamey | Massage Therapist | 101 138th St. E., 28, Tacoma, WA 98444 | 2014-09-17 |
| 1841609666 | Marci Oswald | Dental Hygienist | 130 131st Street South, Tacoma, WA 98444 | 2014-08-06 |
| 1841611829 | Lucas Victor Briggs | Physical Therapist | 223 140th St. South Suite # 700, Elite Physical Therapy, Tawma, WA 98444 | 2013-12-18 |
| 1457798092 | Dent Korsmo & Henry D.d.s., P.s. | Dentist | 12165 Pacific Ave, Suite A, Tacoma, WA 98444 | 2013-05-22 |
| 1740521566 | Kristine-cassandra B. Papa | Massage Therapist | 10202 Pacific Ave. S, Suite 215, Tacoma, WA 98444 | 2013-03-04 |
| 1356687941 | Matthew Hockin | Dentist | 223 140th Street South, Suite 800, Tacoma, WA 98444 | 2012-12-31 |
| Find all providers in zip 98444 | ||||
| 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 |
|---|---|---|---|---|
| 1326397852 | Joshua Eldon Greenwood | Pharmacist | 1148 Broadway Plaza Suite 400 Mailstop 06-04, Tacoma, WA 98402 | 2012-08-30 |
| 1982900189 | Thomas Allen Simpson | Pharmacist | 1520 N Prospect St, Tacoma, WA 98406-8108 | 2011-02-04 |
| 1891301248 | Yaoyi Xiao | Pharmacist | 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2020-09-21 |
| 1144796046 | Michael Troy Miller | Pharmacist | 1717 S J St # Ms 01-79, Tacoma, WA 98405-4933 | 2018-10-17 |
| 1669953261 | Miguel A Toscano | Pharmacist | 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2018-08-22 |
| 1295226165 | Nancy Benavides | Pharmacist | 209 M.l.k. Jr Way, Tacoma, WA 98405 | 2018-05-25 |
| 1821474818 | Mary Brim | Pharmacist | 311 S L St, Tacoma, WA 98405 | 2015-08-03 |
| 1427473438 | Rodney Nicolas | Pharmacist | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2014-02-27 |
| 1013256262 | Andrew Kenneth Yu | Pharmacist | 209 Martin Luther King Jr Way, Tacoma, WA 98405-4265 | 2013-02-07 |
| 1265706915 | Jennifer H Daniels | Pharmacist | 9040 Jackson Ave, Madigan Army Medical Center, Tacoma, WA 98433 | 2012-02-28 |
| Find all providers in TACOMA | ||||
Please comment or provide details below to improve the information on SEONGEUN 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.