SOO KIM (NPI# 1629390117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629390117 |
| Entity Type | Individual |
| Full Name | SOO KIM |
| Credential | RPH |
| Practice Address |
14246 Roosevelt Ave Flushing NY 11354-6042 |
| Practice Telephone | 7188880808 |
| Mailing Telephone | 7188880808 |
| Enumeration Date | 2010-02-24 |
| Last Update Date | 2010-02-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 045404 | NY | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811368376 | Soo Kim | Pharmacist | 757 Galaxy Heights Dr, La Canada Flintridge, CA 91011-1832 | 2015-10-09 |
| 1639511546 | Soo Kim | Dietitian, Registered | 1013 Ledgemont Dr, Plano, TX 75025-3510 | 2013-07-19 |
| 1932318219 | Soo H Kim | Optometrist | 25574 Dapper Ct, Chantilly, VA 20152-6318 | 2007-05-22 |
| 1619093739 | Soo Youn Kim | Optometrist | 14147 Pipeline Ave, Chino, CA 91710-5618 | 2007-03-21 |
| 1912064429 | Soo Yew Kim | Dentist | 1717 S Hoover St, Los Angeles, CA 90006-4958 | 2007-01-03 |
| 1851475958 | Soo R. Kim | Internal Medicine | 29 W Oneida St, Oswego, NY 13126 | 2006-10-25 |
| 1376578260 | Soo Bin Kim | Dentist | 14855 Blanco Rd Ste 413, San Antonio, TX 78216-7731 | 2006-07-11 |
| 1053870618 | Soo Kim | Technician | 8290 W Sahara Ave Ste 260, Las Vegas, NV 89117-8933 | 2019-03-13 |
| 1649736265 | Soo Jin Kim | Behavior Technician | 12443 Lewis St Ste 201, Garden Grove, CA 92840-4650 | 2019-02-19 |
| 1396271185 | Soo M Kim | Student in an Organized Health Care Education/Training Program | 1210 Sw 136th St, Burien, WA 98166-1214 | 2017-05-11 |
| Street Address |
14246 ROOSEVELT AVE |
| City | FLUSHING |
| State | NY |
| Zip Code | 11354-6042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225181308 | Ny Family Pharmacy LLC | Pharmacy | 14246 Roosevelt Ave, Flushing, NY 11354-6042 | 2007-01-19 |
| 1912538836 | Vivian Eungi Kim | Pharmacist | 14246 Roosevelt Ave, Flushing, NY 11354-6042 | 2020-01-29 |
| 1184947822 | Nammi Yu | Pharmacist | 14246 Roosevelt Ave, Flushing, NY 11354-6042 | 2010-03-09 |
| 1003139304 | Helen H Chon | Pharmacist | 14246 Roosevelt Ave, Flushing, NY 11354-6042 | 2010-03-02 |
| 1053633347 | Eun Sun Kim | Pharmacist | 14246 Roosevelt Ave, Flushing, NY 11354-6042 | 2010-02-27 |
| 1841512928 | Ounsil Lee | Pharmacist | 14246 Roosevelt Ave, Flushing, NY 11354-6042 | 2010-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699388157 | Laeana Rodriguez | Speech-Language Pathologist | 30-04 146th St, Flushing, NY 11354 | 2020-08-25 |
| 1508402413 | United Community Anesthesia Care Pllc | Anesthesiology | 3636 Maint St, 1s, Flushing, NY 11354 | 2019-11-26 |
| 1922658087 | Xiaoyan Fei | Social Worker | Charles B. Wang Community Health Center 136-26 37th Ave, Flushing, NY 11354 | 2019-09-19 |
| 1235797655 | Life Improvement Homecare, Inc. | Durable Medical Equipment & Medical Supplies | 38-08 Union Street, Suite 2j, Flushing, NY 11354 | 2019-05-31 |
| 1497214985 | Justin Young Lee | Registered Nurse | 143-23 38th Ave, Apt 2c, Flushing, NY 11354 | 2019-03-14 |
| 1669930962 | Jacqueline Nicole Liu | Student in an Organized Health Care Education/Training Program | 29-30 138th Street, Apartment 3f, Flushing, NY 11354 | 2019-03-05 |
| 1275003378 | Janet Poon | Pharmacist | 35-19 Leavitt St., #51, Flushing, NY 11354 | 2018-11-30 |
| 1659856490 | Xiaohui Wang Medical Pllc | Obstetrics & Gynecology | 135 16 Roosevelt Avenue, 3rd Floor, Flushing, NY 11354 | 2018-09-27 |
| 1063990687 | Harmony Care Physical Therapy PC | Clinic/Center | 35-05 Farrington Street, Ste A, Flushing, NY 11354 | 2018-08-06 |
| 1356827604 | Theresa S Cheung | Nurse Practitioner | 39-07 Prince St, Ste 3h, Flushing, NY 11354 | 2018-07-18 |
| Find all providers in zip 11354 | ||||
| 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 |
|---|---|---|---|---|
| 1588272496 | Sojeung Park | Pharmacist | 19406 Northern Blvd, Flushing, NY 11358-3033 | 2020-07-16 |
| 1952949463 | Leonid Aminov | Pharmacist | 14743 76th Rd, Flushing, NY 11367-3121 | 2019-12-16 |
| 1144867839 | Chinida Gulkarova | Pharmacist | 14716 77th Rd, Flushing, NY 11367-3429 | 2019-12-02 |
| 1578109278 | Justin Lai | Pharmacist | 13314 41st Rd, Flushing, NY 11355-3791 | 2019-11-18 |
| 1922641638 | Hasibullah Mir | Pharmacist | 7522 Parsons Blvd Apt B3, Flushing, NY 11366-1014 | 2019-10-25 |
| 1093356735 | Huiling Zhang | Pharmacist | 14725 Northern Blvd Apt 1x, Flushing, NY 11354-4324 | 2019-10-03 |
| 1043860018 | Min Shi | Pharmacist | 4173 Bowne St, Flushing, NY 11355-2642 | 2019-09-12 |
| 1578111555 | Ji In Kang | Pharmacist | 3566 164th St, Flushing, NY 11358-1719 | 2019-09-03 |
| 1932760170 | Sami Al Hossain | Pharmacist | 7263 Kissena Blvd Ste 4, Flushing, NY 11367-2780 | 2019-06-27 |
| 1649834334 | Jung Eun Song | Pharmacist | 15917 Northern Blvd, Flushing, NY 11358-1636 | 2019-04-28 |
| Find all providers in FLUSHING | ||||
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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.