KATHY KIM (NPI# 1588055149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588055149 |
| Entity Type | Individual |
| Full Name | KATHY KIM |
| Credential | PHARM.D. |
| Practice Address |
12751 Harbor Blvd Rm 100 Garden Grove CA 92840-5800 |
| Practice Telephone | 7146208396 |
| Practice Fax Number | 7146208395 |
| Mailing Telephone | 7146208396 |
| Mailing Fax Number | 7146208395 |
| Enumeration Date | 2015-02-17 |
| Last Update Date | 2020-09-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 62640 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659789873 | Kathy Kim | Point of Service | 2305 Leander Cir, Anchorage, AK 99515-2539 | 2014-07-31 |
| 1609209477 | Kathy Dipasquale Kim | Dentist | 15200 Shady Grove Rd Ste 408, Rockville, MD 20850-3218 | 2013-08-15 |
| 1528388162 | Kathy Jonghi Kim | Pharmacist | 8030 Dale St, Buena Park, CA 90620-2251 | 2010-06-05 |
| 1225245004 | Kathy S.m. Kim | Dentist | 4150 Sw 100th Ave, Beaverton, OR 97005 | 2007-05-17 |
| 1962591396 | Kathy Kim | Optometrist | 6405 Steilacoom Blvd Sw, Suite A, Lakewood, WA 98499-2668 | 2006-10-12 |
| 1457814394 | Kathy Kim | Counselor | 2615 Pacific Coast Hwy Ste 217, Hermosa Beach, CA 90254-2229 | 2019-04-08 |
| 1912477613 | Kathy Kim | Occupational Therapist | 19750 S Vermont Ave Ste 140, Torrance, CA 90502-1130 | 2018-11-26 |
| 1588143754 | Kathy Chong Eun Kim | Dentist | 4760 W Mineral Ave Ste 60, Littleton, CO 80128-2540 | 2018-08-09 |
| 1639579915 | Kathy Kim | Dentist | 24812 Northern Blvd, Little Neck, NY 11362-1206 | 2014-08-25 |
| Street Address |
12751 HARBOR BLVD RM 100 |
| City | GARDEN GROVE |
| State | CA |
| Zip Code | 92840-5800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871116566 | Altamed Health Services Corp | Pharmacy | 12751 Harbor Blvd Rm 100, Garden Grove, CA 92840-5800 | 2020-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588283808 | Kimberly Gaeta | Behavioral Analyst | 123935 Lewis Street, Ste 202, Garden Grove, CA 92840 | 2020-04-16 |
| 1396397170 | Rosa Cortez | Behavior Technician | 12443 Lewis Street, #201, Garden Grove, CA 92840 | 2019-07-12 |
| 1376005934 | Sekboppa Sor | Nurse Practitioner | An Lanh Free Clinic, 10861 Acacia Pkwy., Garden Grove, CA 92840 | 2019-04-03 |
| 1346730116 | Vinh Le Tran | Pharmacist | 12666 Brookhurst St. Suite 110, Garden Grove, CA 92840 | 2018-05-16 |
| 1841715232 | Scott R. Blair | Physician Assistant | 12828 Harbor Blvd Ste 200, Garden Grove, CA 92840 | 2017-08-07 |
| 1881049492 | Carmen Keally | Dietitian, Registered | 12602 9th St, Garden Grove, CA 92840 | 2016-05-02 |
| 1548688732 | House Call Medical Associates, Inc. | Internal Medicine | 12865 Main St Ste 105, Garden Grove, CA 92840 | 2014-04-03 |
| 1851733059 | Carly Ann Wade | Marriage & Family Therapist | 12755 Brookhurst St. Ste 116, Garden Grove, CA 92840 | 2013-07-29 |
| 1003159864 | Priyal Shah Ohri | Dentist | 10602 Chapman Ave, Suite 200, Garden Grove, CA 92840 | 2013-03-30 |
| 1770853244 | Joseph Pham | Pharmacist | 12001 Euclid St., Garden Grove, CA 92840 | 2011-12-30 |
| Find all providers in zip 92840 | ||||
| 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 |
|---|---|---|---|---|
| 1619583291 | Long Tran | Pharmacist | 9904 13th St, Garden Grove, CA 92844-3149 | 2020-09-19 |
| 1568077030 | Michael Vu Nguyen | Pharmacist | 11572 Faye Ave, Garden Grove, CA 92840-1903 | 2020-09-11 |
| 1558973693 | Lam Huynh | Pharmacist | 8001 Chalet Ln, Garden Grove, CA 92841-4352 | 2020-08-19 |
| 1710596986 | Jenny Diemmy Nguyen | Pharmacist | 13872 Harbor Blvd Ste 1a, Garden Grove, CA 92843-4000 | 2020-07-23 |
| 1629690094 | Norberto J Rocha | Pharmacist | 13096 Blackbird St Spc 14, Garden Grove, CA 92843-2946 | 2020-05-08 |
| 1144851775 | Diem Phuong Khuu | Pharmacist | 9572 Dewey Dr, Garden Grove, CA 92841-1312 | 2020-02-02 |
| 1144882705 | Byung Jun Min | Pharmacist | 11000 Garden Grove Blvd Ste 201, Garden Grove, CA 92843-1206 | 2019-07-03 |
| 1356904742 | Kevin Q Pham | Pharmacist | 13191 Hilton Ln, Garden Grove, CA 92843-2222 | 2019-04-21 |
| 1144798091 | An Chau | Pharmacist | 11562 Stanford Ave, Garden Grove, CA 92840-5433 | 2018-11-08 |
| 1780159285 | Grace Myanh Tran | Pharmacist | 9721 Sutherland Way, Garden Grove, CA 92844-3039 | 2018-10-10 |
| Find all providers in GARDEN GROVE | ||||
| City | GARDEN GROVE |
| Zip Code | 92840 |
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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.