SO KIM (NPI# 1811387475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811387475 |
| Entity Type | Individual |
| Full Name | SO KIM |
| Practice Address |
1238 Putty Hill Ave Towson MD 21286-5844 |
| Practice Telephone | 4108234543 |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2015-02-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | T09959 | MD | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285183723 | So Kim | Nurse Practitioner | 7334 S Lindbergh Blvd Saint Louis, Saint Louis, MO 63125-4522 | 2016-09-26 |
| 1235122201 | So J Kim | Anesthesiology | 1044 N Francisco Ave, Chicago, IL 60622-2743 | 2005-08-25 |
| Street Address |
1238 PUTTY HILL AVE |
| City | TOWSON |
| State | MD |
| Zip Code | 21286-5844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750375366 | Deborah Ann Campbell | Nurse Practitioner | 1238 Putty Hill Ave, # 6, Towson, MD 21286-5844 | 2005-09-09 |
| 1073113247 | Anu Margret Joseph | Pharmacist | 1238 Putty Hill Ave, Towson, MD 21286-5844 | 2020-10-27 |
| 1598379315 | Karen Yueni Li | Pharmacist | 1238 Putty Hill Ave, Towson, MD 21286-5844 | 2020-08-31 |
| 1194335661 | Chinomso J Umunnakwe | Pharmacist | 1238 Putty Hill Ave, Towson, MD 21286-5844 | 2020-08-08 |
| 1386260297 | Alex Santoro Thompson | Pharmacist | 1238 Putty Hill Ave, Towson, MD 21286-5844 | 2020-06-17 |
| 1154968881 | Seth Weinstock | Pharmacist | 1238 Putty Hill Ave, Towson, MD 21286-5844 | 2019-12-02 |
| 1649738154 | Bansri Desai | Pharmacist | 1238 Putty Hill Ave, Towson, MD 21286-5844 | 2019-03-05 |
| 1699246454 | Kristin Elizabeth Nichols | Pharmacist | 1238 Putty Hill Ave, Towson, MD 21286-5844 | 2018-12-05 |
| 1144795964 | Kody Barcus | Pharmacist | 1238 Putty Hill Ave, Towson, MD 21286-5844 | 2018-10-08 |
| 1417455585 | Shilla Pokuaa | Nurse Practitioner | 1238 Putty Hill Ave, Towson, MD 21286-5844 | 2018-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989042 | Osereme Nora Agboifo | Nurse Practitioner | 200 Ejoppa Rd Suite 106, Townson, MD 21286 | 2020-10-09 |
| 1801434543 | Bh Brightview Towson Opco, LLC | Alzheimer Center (Dementia Center) | 20 E. Burke Avenue, Baltimore, MD 21286 | 2019-12-12 |
| 1417598897 | Tyler Tuggle | Home Health Aide | 8601 Lasalle Rd., Suite 100, Towson, MD 21286 | 2019-10-07 |
| 1285289629 | Center for Creative Values Inc | Community/Behavioral Health | 515 E. Joppa Rd Suite 100 & 104, Towson, MD 21286 | 2019-08-02 |
| 1275195117 | Watermark Health Services | Chore Provider | 1045 Taylor Avenue Suite 106e, Towson, MD 21286 | 2019-07-01 |
| 1609337021 | Tyler James Howard | Psychologist | 8600 Lasalle Road Carroll Building, Suite 212, Towson, MD 21286 | 2019-03-28 |
| 1477019578 | Ruth Marie Collins | Counselor | 8501 Lasalle Rd., Suite 115, Towson, MD 21286 | 2019-02-13 |
| 1396200671 | Christian Dorry | Behavior Technician | Epic Developmental Services, 1026 Cromwell Bridge Rd, Towson, MD 21286 | 2019-01-31 |
| 1831667799 | Casey O'sullivan | Counselor | 1220 E. Joppa Rd., Bldg B, Ste 332, Towson, MD 21286 | 2018-11-08 |
| 1649763053 | Rosemary O Okpulor | Nurse Practitioner | 8510 Lasalle Rd, Suite 310, Towson, MD 21286 | 2018-06-11 |
| Find all providers in zip 21286 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255962882 | Marjan Hosseinnia | Pharmacy Technician | 25 Dunvale Rd Apt 225, Towson, MD 21204-2527 | 2020-02-02 |
| 1518357185 | Jon Carneiro | Pharmacy Technician | 1238 Putty Hill Ave, Towson, MD 21286-5844 | 2015-02-03 |
| 1700276433 | Julia Hyson | Pharmacy Technician | 1238 Putty Hill Ave, Towson, MD 21286-5844 | 2015-02-03 |
| 1174913735 | Thao Tran | Pharmacy Technician | 1238 Putty Hill Ave, Towson, MD 21286-5844 | 2015-02-03 |
| 1770973331 | Alyssa Deatley | Pharmacy Technician | 1238 Putty Hill Ave, Towson, MD 21286-5844 | 2015-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639778061 | Kellie Young | Pharmacy Technician | 9004 Townsend Ln, Clinton, MD 20735-2870 | 2020-10-16 |
| 1881211241 | Jennifer Anne Suminski | Pharmacy Technician | 18759 Diller Dr, Hagerstown, MD 21742-2434 | 2020-07-01 |
| 1952874406 | Shauntae Turner | Pharmacy Technician | 315 Dark Star Way, Glen Burnie, MD 21060-7442 | 2019-01-08 |
| 1194205153 | Khadijah Keita | Pharmacy Technician | 1512 Woodwell Rd, Silver Spring, MD 20906 | 2018-08-20 |
| 1922504083 | Hoangnam Kim Tran | Pharmacy Technician | 6525 Belcrest Rd Ste 207, Hyattsville, MD 20782-2062 | 2018-04-05 |
| 1992200588 | Brian Ennis | Pharmacy Technician | 2811 Gresham Way Unit 102, Baltimore, MD 21244-3921 | 2018-03-27 |
| 1023566965 | Amanda Arbour | Pharmacy Technician | 111 Sturgill Dr, Bel Air, MD 21015-6111 | 2016-09-21 |
| 1689026361 | Myshaurna Harrison | Pharmacy Technician | 48 Solar Cir Apt L, Parkville, MD 21234-6832 | 2016-07-06 |
| 1881050722 | Jessica Mccorkle | Pharmacy Technician | 3600 Boston St, Baltimore, MD 21224-5729 | 2016-01-07 |
| 1235529793 | Sally Marie Freeland | Pharmacy Technician | 300 Hiobs Ln, Aberdeen, MD 21001-2919 | 2015-02-04 |
| Find all providers with the same taxonomy | ||||
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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.