JUSTIN KO (NPI# 1790269371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790269371 |
| Entity Type | Individual |
| Full Name | JUSTIN KO |
| Practice Address |
5 N Glen Cir Oak Ridge NJ 07438-9583 |
| Practice Telephone | 2014000993 |
| Mailing Telephone | 2014000993 |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2018-09-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 28RI03973700 | NJ | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DRIVER'S LICENSE | K60014230008942 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689203416 | Justin Ko | Student in an Organized Health Care Education/Training Program | 1102 Barclay St, San Antonio, TX 78207-7161 | 2020-04-03 |
| 1598232159 | Justin Ko | Pharmacist | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2018-10-31 |
| 1790912251 | Justin M Ko | Dermatology | 300 Pasteur Dr, Palo Alto, CA 94305-2200 | 2009-06-11 |
| Street Address |
5 N GLEN CIR |
| City | OAK RIDGE |
| State | NJ |
| Zip Code | 07438-9583 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700339587 | Meghan Damelio I | Nurse Practitioner | 148 School House Rd, Oak Ridge, NJ 07438 | 2016-07-28 |
| 1912387945 | Department of Special Education of The Roman Catholic Diocese of Pater | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5 Kelly Way, Oak Ridge, NJ 07438 | 2015-06-04 |
| 1407236425 | Department of Special Education of The Roman Catholic Diocese of Pater | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2 Donovan Drive, Oak Ridge, NJ 07438 | 2015-06-04 |
| 1124408158 | Department of Special Education of The Roman Catholic Diocese of Pater | Case Management | 1049 Weldon Road, Oak Ridge, NJ 07438 | 2015-06-04 |
| 1801276845 | Department of Special Education of The Roman Catholic Diocese of Pater | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1077 Weldon Road, Oak Ridge, NJ 07438 | 2015-06-04 |
| 1417337445 | Department of Special Education of The Roman Catholic Diocese of Pater | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3 Catholic Charities Way, Oak Ridge, NJ 07438 | 2015-06-04 |
| 1437408036 | Matthew Ronald Kern | Physical Therapist | 30 Abenaki Trail, Oak Ridge, NJ 07438 | 2012-08-29 |
| 1720232028 | Joanne Dolorita Szemborski | Dentist | 5726 Berkshire Valley Rd., Oak Ridge, NJ 07438 | 2008-11-13 |
| 1487808218 | A Time for Change Counseling Services LLC | Community/Behavioral Health | 22 Indian Spring Dr., Oak Ridge, NJ 07438 | 2008-11-06 |
| 1609877877 | Andrew J Rajeckas | Chiropractor | 762 State Hwy 15, Lake Hopatcong, NJ 07438 | 2005-08-10 |
| Find all providers in zip 07438 | ||||
| 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 |
|---|---|---|---|---|
| 1588051825 | Olivia Irons Cleckler | Pharmacist | 5200 Saddle Brook Rd, Oak Ridge, NC 27310-9745 | 2015-04-24 |
| 1093100406 | Jack Greene | Pharmacist | 10 Radcliff Ter, Oak Ridge, TN 37830-9013 | 2015-04-02 |
| 1518352343 | Tia Mashburn | Pharmacist | 1199 Oak Ridge Tpke, Oak Ridge, TN 37830-6442 | 2015-03-30 |
| 1265837231 | Jonathan Grayson | Pharmacist | 2300 Nc-150, Oak Ridge, NC 27310-0000 | 2014-11-03 |
| 1669877205 | Johnny Letlow | Pharmacist | 534 Webb Hill Rd, Oak Ridge, LA 71264-3033 | 2014-10-24 |
| 1922351154 | Maggie Sue Edmonds | Pharmacist | 151 Dutch St, Oak Ridge, PA 16245 | 2012-10-25 |
| 1538427232 | Karen Andrews Comeford | Pharmacist | 4565 Peeples Rd, Oak Ridge, NC 27310-9763 | 2012-05-01 |
| 1720364615 | Douglas Miller | Pharmacist | 1299 Oak Ridge Turnpike, Oak Ridge, TN 37830 | 2011-10-24 |
| 1912293895 | April H Duggins | Pharmacist | 7605 N Hwy 68 N, Suite B, Oak Ridge, NC 27310 | 2011-06-20 |
| 1679867402 | Cynthia T Carter | Pharmacist | 2300 Highway 150, Oak Ridge, NC 27310 | 2011-06-09 |
| Find all providers in OAK RIDGE | ||||
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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.