CHANJU SHIM


Address: 21000 Southbank St, Sterling, VA 20165-7242
Phone: 7034300400

CHANJU SHIM (NPI# 1669073888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669073888
Entity Type Individual
Full Name CHANJU SHIM
Practice Address 21000 Southbank St
Sterling
VA 20165-7242
Practice Telephone 7034300400
Mailing Telephone 7034300400
Enumeration Date 2020-11-04
Last Update Date 2020-11-04
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 1821021171 VA Pharmacy Service Providers

Office Location

Street Address 21000 SOUTHBANK ST
City STERLING
State VA
Zip Code 20165-7242

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578042073 Potomac Speech, LLC Clinic/Center 20657 Shoal Place, Sterling, VA 20165 2018-08-07
1386138600 Jennifer M Bennett Specialist 46691 Cavendish Sq, Sterling, VA 20165 2018-06-20
1689163271 Horizon Healthcare Professionals, LLC Registered Nurse 6 Pidgeon Hill Dr Ste 309, Sterling, VA 20165 2018-05-09
1336668573 Jennifer Beatriz Henriquez Student in an Organized Health Care Education/Training Program 88 Bickel Ct, Sterling, VA 20165 2017-09-19
1134648413 Alannah Angels Care, LLC Home Health 47672 Comer Sq, Sterling, VA 20165 2017-09-18
1215472709 Hiba Aljumaah Non-emergency Medical Transport (VAN) 20829 Miranda Falls Sq, Sterling, VA 20165 2016-12-20
1629465299 The Key Center of Florida Health Maintenance Organization 21155 Whitfield Pl 206, Sterling, VA 20165 2015-04-22
1740679265 Shahla Zamani Pharmacist 46380 Monocacy Square, Potomac Falls, VA 20165 2015-01-21
1598006785 Jeanine Marie Burke Physical Therapist 2 Pidgeon Hill Dr Ste 350, Sterling, VA 20165 2013-03-13
1134464126 Faisal Hasan Specialist 46770 Willowood Place, Potomac Falls, VA 20165 2012-12-03
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Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619578358 Mina Ekdawi Pharmacist 45735 Smoketree Ter, Sterling, VA 20166-7202 2020-11-07
1376142745 Brian Pawlicki Pharmacist 21399 Epicerie Plz, Sterling, VA 20164-6603 2020-10-18
1932727492 Thu Nguyen Pharmacist 22819 Oakgrove Rd, Sterling, VA 20166-4369 2020-07-10
1942828033 Haneen Kala Pharmacist 45451 Baggett Ter, Sterling, VA 20166-3034 2020-07-06
1750924593 Joy Chen Pharmacist 22991 Rock Hill Rd, Sterling, VA 20166-9414 2019-10-24
1740614320 Wesley Alfred Vermies Pharmacist 2901 E. Fourth St, Sterling, IL 61081 2013-08-30
1346689189 Traci Collier Pharmacist 22375 Davis Dr, Sterling, VA 20164 2013-06-14
1760741466 Dawn Coley Pharmacist 45130 Columbia Place, Sterling, VA 20166 2012-05-15
1417224080 David Ronald Lorenzo Pharmacist 731 Fairhurst St, Sterling, CO 80751-4525 2011-11-25
1750676789 Sheikh M Rasul Pharmacist 20600 Great Falls Plaza, Sterling, VA 20164 2011-06-17
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Competitor

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City STERLING
Zip Code 20165

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Dataset Information

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.

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