KYONG KIM (NPI# 1811218944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811218944 |
| Entity Type | Individual |
| Full Name | KYONG KIM |
| Credential | PHARMD |
| Practice Address |
4410 Slauson Ave Maywood CA 90270-2932 |
| Mailing Address |
345 S New Hampshire Ave #108 Los Angeles CA 90020-1849 |
| Practice Telephone | 3237719422 |
| Mailing Telephone | 2137001608 |
| Enumeration Date | 2010-06-11 |
| Last Update Date | 2010-06-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 55113 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265888473 | Kyong Kim | Podiatrist | 18151 Ne 31st Ct, Apt 911, Aventura, FL 33160-2660 | 2016-05-05 |
| 1124009303 | Kyong Ho Kim | Pain Medicine | 11306 Bridgeport Way Sw, Suite D, Lakewood, WA 98499-3037 | 2005-11-07 |
| 1326658493 | Kyong Soon Kim | Technician | 1928 E Charleston Blvd Ste A, Las Vegas, NV 89104-1993 | 2020-08-04 |
| 1336583590 | Kyong Kim | Pharmacist | 6412 S Parker Rd, Aurora, CO 80016-3011 | 2013-04-18 |
| 1770824021 | Kyong Tai Kim | Community Health Worker | 1310 Wilshire Blvd, Los Angeles, CA 90017-1705 | 2013-03-12 |
| 1184608226 | Kyong Hi Kim | Dentist | 3295 Forney St, Fort Jackson, SC 29207-5604 | 2005-12-02 |
| Street Address |
4410 SLAUSON AVE |
| City | MAYWOOD |
| State | CA |
| Zip Code | 90270-2932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669688594 | Loi C Phan | Pharmacist | 4410 Slauson Ave, Maywood, CA 90270-2932 | 2007-05-15 |
| 1326648361 | Tiana Le | Pharmacist | 4410 Slauson Ave, Maywood, CA 90270-2932 | 2020-10-29 |
| 1215289400 | Kevin Soohoo | Acupuncturist | 4410 Slauson Ave, Maywood, CA 90270-2932 | 2012-10-11 |
| 1073720918 | Anna M Kim | Pharmacist | 4410 Slauson Ave, Maywood, CA 90270-2932 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770972374 | Jose R. Torres Dds Inc | Health Maintenance Organization | 3619 E.slauson Ave, Suite A, Maywood, CA 90270 | 2015-01-20 |
| 1417207887 | Alejandra Meza | Case Manager/Care Coordinator | 4930 E.59th Place, Maywood, CA 90270 | 2012-09-13 |
| 1134350267 | Gary Garoian D.d.s., Inc. | Dentist | 4201 East Slauson Ave, Maywood, CA 90270 | 2009-08-06 |
| 1548309560 | Shane Medical Office A Professional Corporation | Internal Medicine | 4316 E. Slauson Ave, Maywood, CA 90270 | 2007-02-06 |
| 1245385178 | Robert M Mendez Jr. | Dentist | 5705 Atlantic Blvd, Suite A1, Maywood, CA 90270 | 2007-01-23 |
| 1215010319 | Leonard J Feld | Dentist | 4332 E Slauson Ave, Maywood, CA 90270 | 2006-10-23 |
| 1366524019 | The Medicine Cabinet Inc. | Pharmacy | 5906 Atlantic Blvd., Maywood, CA 90270 | 2006-10-20 |
| 1578124871 | Javier Jardon, M.d., Medical Corporation | Ophthalmology | 4131 Slauson Ave, Maywood, CA 90270 | 2019-06-26 |
| 1992873947 | Ardmore Medical Group | Obstetrics & Gynecology | 5953 Atlantic Blvd, Maywood, CA 90270 | 2006-11-30 |
| 1275623472 | Andmore Medical Group | Obstetrics & Gynecology | 5953 Atlantic Blvd, Maywood, CA 90270 | 2006-10-16 |
| Find all providers in zip 90270 | ||||
| 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 |
|---|---|---|---|---|
| 1477899029 | Sweta R Thakker | Pharmacist | 15 Essex Ct, Maywood, NJ 07607-1808 | 2012-12-28 |
| 1750639027 | Nicolette Stewart | Pharmacist | 1900 S 3rd Ave, Maywood, IL 60153-3316 | 2012-08-17 |
| 1023327665 | Emily Yan | Pharmacist | 110 E Magnolia Ave, Maywood, NJ 07607-1944 | 2010-09-30 |
| 1477870343 | Sanjaykumar K Rudani | Pharmacist | 673 Maywood Ave, Maywood, NJ 07607-1505 | 2010-04-30 |
| 1477885663 | Ayse Karabas | Pharmacist | 154 Maybrook Dr, Maywood, NJ 07607-1849 | 2010-02-12 |
| 1437480803 | Ari Fishkin | Pharmacist | 102 W Pleasant Ave, Maywood, NJ 07607-1336 | 2010-01-24 |
| 1669688594 | Loi C Phan | Pharmacist | 4410 Slauson Ave, Maywood, CA 90270-2932 | 2007-05-15 |
| 1912123548 | Seyha Kem | Pharmacist | 6046 Atlantic Blvd, Maywood, CA 90270-3119 | 2007-04-18 |
| 1932205390 | Satyam Patel | Pharmacist | 5 Th Avenue Roosevelt, Maywood, IL 60141 | 2006-09-15 |
| 1467494864 | Maywood Pharmacy Inc | Pharmacist | 318 W Madison St, Maywood, IL 60153-2151 | 2006-06-11 |
| Find all providers in MAYWOOD | ||||
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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.