JI YOUNG KIM (NPI# 1568823169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568823169 |
| Entity Type | Individual |
| Full Name | JI YOUNG KIM |
| Credential | PHARMD |
| Practice Address |
3370 Sugarloaf Pkwy Lawrenceville GA 30044-5478 |
| Practice Telephone | 6783763844 |
| Mailing Telephone | 6783763844 |
| Enumeration Date | 2016-03-10 |
| Last Update Date | 2016-03-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 028611 | GA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053827659 | Ji Young Kim | Pharmacist | 1555 Main St Apt 202, Rahway, NJ 07065-4070 | 2017-12-18 |
| 1700259785 | Ji Young Kim | Acupuncturist | 192-15a 64th Cir. #1a, Fresh Meadows, NY 11365 | 2015-11-12 |
| 1033729579 | Ji Young Kim | Pharmacist | 228 Mountain Rd, Fallston, MD 21047-2840 | 2020-08-07 |
| 1821569153 | Ji Young Kim | Dentist | 122 Saratoga Ave, Santa Clara, CA 95051-7385 | 2018-12-16 |
| 1053840173 | Ji Young Kim | Pharmacist | 2737 E Mckellips Rd, Mesa, AZ 85213-3016 | 2017-06-12 |
| 1104364413 | Ji Young Kim | Pharmacist | 200 West Hospital Drive, Whiteriver, AZ 85941 | 2017-02-07 |
| 1265812234 | Ji Young Kim | Counselor | 12335 Hymeadow Dr, Suite 450, Austin, TX 78750-1934 | 2015-06-04 |
| 1548692593 | Ji Young Kim | Nurse Practitioner | 3600 Gaston Ave, Suite 550, Dallas, TX 75246-1800 | 2013-08-01 |
| 1285989244 | Ji Young Kim | Nurse Practitioner | 2015 Grand Concourse, Bronx, NY 10453-4303 | 2012-07-16 |
| Street Address |
3370 SUGARLOAF PKWY |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30044-5478 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780623744 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 3370 Sugarloaf Pkwy, Lawrenceville, GA 30044-5478 | 2006-06-05 |
| 1952859209 | Dsi Snellville LLC | Clinic/Center | 3370 Sugarloaf Pkwy, Lawrenceville, GA 30044-5478 | 2016-09-15 |
| 1093177883 | Eastside Urgent Care, LLC | Clinic/Center | 3370 Sugarloaf Pkwy, Suite A, Lawrenceville, GA 30044-5478 | 2016-03-22 |
| 1528306917 | Ime Otu Onofiok | Pharmacist | 3370 Sugarloaf Pkwy, Lawrenceville, GA 30044-5478 | 2013-01-21 |
| 1992043475 | Ann Marie Moon | Pharmacist | 3370 Sugarloaf Pkwy, Lawrenceville, GA 30044-5478 | 2013-01-17 |
| 1497052146 | Pain Consultants of Georgia LLC | Pain Medicine | 3370 Sugarloaf Pkwy, Suite G-7, Lawrenceville, GA 30044-5478 | 2011-02-15 |
| 1659686699 | Eric J Baggett | Pharmacist | 3370 Sugarloaf Pkwy, Lawrenceville, GA 30044-5478 | 2010-08-14 |
| 1306174768 | Veritta Henderson | Registered Nurse | 3370 Sugarloaf Pkwy, Suite G-2-171, Lawrenceville, GA 30044-5478 | 2009-11-24 |
| 1053521476 | Caz Goodman, D.c., P.a. | Chiropractor | 3370 Sugarloaf Pkwy, Suite G7, Lawrenceville, GA 30044-5478 | 2007-05-23 |
| 1679794531 | Vision Institute Optical, LLC | Optometrist | 3370 Sugarloaf Pkwy, Suite B-3, Lawrenceville, GA 30044-5478 | 2007-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740811892 | Berry and Mitchell Hands of Caring | Nurse's Aide | 1180 Market Square Lane, Lawrenceville, GA 30044 | 2020-01-28 |
| 1457995045 | Reagan Urgent Care | Clinic/Center | 2878 Five Forks Trickum Rd Ste 2a, Lawrenceville, GA 30044 | 2019-11-06 |
| 1194373621 | Kaseem Beck | Dentist | Gwinnett Family Dental Care, 3455 Lawrenceville Hwy, Lawrenceville, GA 30044 | 2019-08-28 |
| 1053965525 | Imani Anderson | Speech-Language Pathologist | 2775 Cruse Rd Suite 2002, Lawrenceville, GA 30044 | 2019-08-01 |
| 1598329625 | Zam Zam Family Clinic LLC | Clinic/Center | 965 Oakland Road, Bldg 3 Ste D & E, Lawrenceville, GA 30044 | 2019-04-24 |
| 1659858991 | Apex Eyecare | Optometrist | 3694 Club Drive Unit 101, Lawrenceville, GA 30044 | 2018-07-19 |
| 1538657549 | Georgia Comprehensive Family Clinic & Natural Health | Naturopath | 1065 Pleasant Hill Rd, Lawrenceville, GA 30044 | 2018-04-25 |
| 1316434095 | Children's Dentistry of Lithonia, LLC | Dentist | 4850 Sugarloaf Parkway, Ste 611, Lawrenceville, GA 30044 | 2018-04-18 |
| 1831619337 | Legacy Healthcare Services, Inc. | Occupational Therapist | 2899 Five Forks Trickum Rd Apt 204, Lawrenceville, GA 30044 | 2017-06-26 |
| 1326582859 | Ana Coronado | Social Worker | 965 Oakland Road Nw, Suite 3b, Lawrenceville, GA 30044 | 2016-12-19 |
| Find all providers in zip 30044 | ||||
| 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 |
|---|---|---|---|---|
| 1851990394 | Emmanuel Dingsangha | Pharmacist | 3324 Shady Woods Cir, Lawrenceville, GA 30044-2569 | 2020-10-24 |
| 1700404670 | Abel E Kusovschi | Pharmacist | 146 Lancelot Way, Lawrenceville, GA 30046-4756 | 2020-07-08 |
| 1699339374 | Kimberly Woodruff | Pharmacist | 1 Old Bridle Path, Lawrenceville, NJ 08648-1080 | 2019-04-28 |
| 1063920668 | Elizabeth Darbee | Pharmacist | 68 Hopatcong Dr, Lawrenceville, NJ 08648-4136 | 2018-01-17 |
| 1952829368 | Shannon Alexander | Pharmacist | 2780 Commons Dr, Lawrenceville, GA 30044-5761 | 2017-09-06 |
| 1467992289 | Stephanie J Henklein | Pharmacist | 3197 River Oak Ct, Lawrenceville, GA 30044-5650 | 2017-02-27 |
| 1396282125 | Bhumika Dhanani | Pharmacist | 1600 Creek Pointe Cir, Lawrenceville, GA 30043-8355 | 2017-01-31 |
| 1811446511 | Niki J Patel | Pharmacist | 9 Dix Ln, Lawrenceville, NJ 08648-4844 | 2016-09-23 |
| 1891158382 | Justin George | Pharmacist | 1179 Ridge Hollow Lane, Lawrenceville, GA 30043 | 2016-04-01 |
| 1770956153 | Deepika Choudhri | Pharmacist | 315 Stratford Dr, Lawrenceville, NJ 08648-1251 | 2015-11-05 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30044 |
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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.