MARK JIN KIM (NPI# 1578848370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578848370 |
| Entity Type | Individual |
| Full Name | MARK JIN KIM |
| Credential | PHARMD |
| Practice Address |
1801 South St. Lafayette IN 47905 |
| Mailing Address |
316 East Pine Ave West Lafayette IN 47906 |
| Practice Telephone | 7654481366 |
| Mailing Telephone | 7654041708 |
| Enumeration Date | 2011-10-13 |
| Last Update Date | 2011-10-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 26023806A | IN | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881125672 | Mark Honest Kim | Student in an Organized Health Care Education/Training Program | 1468 Madison Ave Fl 8, New York, NY 10029 | 2017-03-23 |
| 1043306970 | Mark Kim | Dentist | 24422 Hawthorne Blvd, Suite A, Torrance, CA 90505-6581 | 2006-10-05 |
| 1053403634 | Mark S. Kim | Family Medicine | 1803 S Meridian, Puyallup, WA 98371 | 2006-09-29 |
| 1578597282 | Mark M Kim | Internal Medicine | 7927 Ritchie Hwy., Glen Burnie, MD 21061 | 2006-07-10 |
| 1487633228 | Mark Y Kim | Internal Medicine | 3900 N Buffalo Road, Orchard Park, NY 14127-1842 | 2006-01-11 |
| 1083136279 | Mark Joong-pyoung Kim | Physical Therapist | 200 E Del Mar Blvd Ste 112, Pasadena, CA 91105-2552 | 2017-07-10 |
| 1003198458 | Mark Y Kim | Pharmacist | 510 N Alamo Rd, Alamo, TX 78516-2306 | 2011-09-12 |
| 1649580002 | Mark Kim | Counselor | 1600 W Eau Gallie Blvd, Suite 201u, Melbourne, FL 32935-4149 | 2010-10-19 |
| 1073743621 | Mark Sung-kyoung Kim | Internal Medicine | 11539 Hawthorne Blvd, 6e, Hawthorne, CA 90250-2381 | 2009-07-16 |
| 1548402894 | Mark Sejun Kim | Anesthesiology | 111 S 11th St, Suite 8490, Philadelphia, PA 19107-4824 | 2009-04-01 |
| Street Address |
1801 SOUTH ST. |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719893 | Elements Counseling LLC | Social Worker | 115 N. Farabee Drive, Lafayette, IN 47905 | 2019-09-18 |
| 1134596869 | Indiana Dental Sleep Therapy LLC | Dentist | 4921 Sr 26 E, Suite 300, Lafayette, IN 47905 | 2015-08-28 |
| 1255750899 | Emily S Miller | Physical Therapist | 1701 Creasy Ln, Lafayette, IN 47905 | 2014-04-10 |
| 1073876215 | Nathan Webster | Dentist | 1530 Kossuth St., Lafayette, IN 47905 | 2012-06-22 |
| 1700177185 | Shannon Tawn Harris | Speech-Language Pathologist | 8900 Cobbler Lane, Lafayette, IN 47905 | 2011-04-20 |
| 1508164484 | David Thomas Beine | Specialist/Technologist | 1321 Unity Pl Ste A, Lafayette, IN 47905 | 2011-03-02 |
| 1447569538 | Deidre Dudley | Nurse Practitioner | 1701 S Creasy Ln Ste 1w93, Lafayette, IN 47905 | 2010-10-07 |
| 1548493067 | Unity Healthcare, LLC | Podiatrist | 750 Park East Blvd, Unit 4, Lafayette, IN 47905 | 2009-09-01 |
| 1073762969 | Lynette Marie Alexander | Nurse Practitioner | 5500 St Rd. 38 East, Lafayette, IN 47905 | 2008-09-16 |
| 1407018435 | Arnett-clarian Health System, LLC | General Acute Care Hospital | 5165 Mccarty Lane, Lafayette, IN 47905 | 2008-07-01 |
| Find all providers in zip 47905 | ||||
| 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 |
|---|---|---|---|---|
| 1396390613 | Patience Bergeron | Pharmacist | 118 Keelingwood Ln, Lafayette, LA 70507-3254 | 2019-08-04 |
| 1659924439 | Le Nguyen | Pharmacist | 620 Guilbeau Rd Ste A, Lafayette, LA 70506-8709 | 2019-07-19 |
| 1730731969 | Kevin Lagrange | Pharmacist | 107 Kentville Cir, Lafayette, LA 70508-6458 | 2019-07-09 |
| 1750857926 | Spree Chisley | Pharmacist | 103 Glasgow Dr, Lafayette, LA 70508-7050 | 2018-10-15 |
| 1780162586 | Chelsie Morein Head | Pharmacist | 1630 Rue Du Belier Apt 301, Lafayette, LA 70506-6549 | 2018-08-02 |
| 1023505914 | Heather Staton | Pharmacist | 324 W. Patton Street, Lafayette, GA 30728 | 2018-04-17 |
| 1205349784 | Natalie Schwartzel | Pharmacist | 987 S Creasy Ln, Lafayette, IN 47905-4800 | 2017-11-07 |
| 1114439320 | Angelle Marie Voinche | Pharmacist | 5000 Ambassador Caffery Pkwy Bldg 3 Ste B, Lafayette, LA 70508-6984 | 2017-10-27 |
| 1245680743 | Kaleab Alamrew | Pharmacist | 1701 Ambassador Caffery Pkwy, Lafayette, LA 70506-2803 | 2016-06-15 |
| 1003285677 | Philip Asare | Pharmacist | 2517 Kaliste Saloon Rd, Lafayette, LA 70508 | 2015-09-24 |
| Find all providers in LAFAYETTE | ||||
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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.