JIEUN KIM (NPI# 1912337676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912337676 |
| Entity Type | Individual |
| Full Name | JIEUN KIM |
| Credential | PHARM.D. |
| Practice Address |
9040 Jackson Ave Tacoma WA 98431-0001 |
| Mailing Address |
6443 61st St W University Place WA 98467-4937 |
| Practice Telephone | 2534770837 |
| Mailing Telephone | 9083701759 |
| Enumeration Date | 2013-11-17 |
| Last Update Date | 2016-06-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 055603 | NY | Pharmacy Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
055603 | NY | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215138458 | Jieun Kim | Psychiatry & Neurology | 921b N Bethlehem Pike Ste 305, Lower Gwynedd, PA 19002-1319 | 2007-05-28 |
| 1861003733 | Jieun Judy Kim | Pharmacist | 355 Ridge Ave, Evanston, IL 60202-3328 | 2020-08-13 |
| 1447792767 | Jieun Kim | Hearing Instrument Specialist | 18802 Mountain View Dr E, Bonney Lake, WA 98391-7110 | 2016-11-17 |
| 1396112819 | Jieun Kim | Pharmacist | 7523 Broadway, Elmhurst, NY 11373-5612 | 2015-09-01 |
| 1386084333 | Jieun Kim | Nurse Practitioner | 1122 S St Ste 102, Fresno, CA 93721-1430 | 2013-07-03 |
| 1841599347 | Jieun Kim | Counselor | 1665 W Adams Blvd, Los Angeles, CA 90007-1533 | 2011-03-23 |
| 1982912879 | Jieun Kim | Counselor | 5 Market Sq, Suite 5b, Amesbury, MA 01913-2497 | 2010-09-14 |
| 1720305584 | Jieun Anna Kim | Ophthalmology | 3030 Childrens Way, Suite 109, San Diego, CA 92123-4232 | 2010-05-03 |
| Street Address |
9040 JACKSON AVE |
| City | TACOMA |
| State | WA |
| Zip Code | 98431-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356345185 | John E Buonora | Nurse Anesthetist, Certified Registered | 9040 Jackson Ave, Tacoma, WA 98431-2025 | 2005-06-09 |
| 1629675251 | Brian Rankin | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-10-06 |
| 1508473869 | Allyssa Lynn Borak | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-09-30 |
| 1093322299 | Jessica Granger | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-09-30 |
| 1134736481 | Rebecca Reinhardt | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-09-29 |
| 1184238479 | Mark Nash | Physical Therapist | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-09-03 |
| 1679191969 | Christopher A Land | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-07-13 |
| 1396362604 | Valerie Kruger | Genetic Counselor, MS | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-07-02 |
| 1255958724 | Michael Wong | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-07-01 |
| 1841813391 | Kailey Utley | Optometrist | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497212260 | Catrina Renee Grugin | Registered Nurse | Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 | 2019-02-27 |
| 1801307681 | Bianca Gomez | Dental Assistant | Bldg 9900 Lincoln Street, Jblm, WA 98431 | 2017-10-19 |
| 1184133225 | Darren Paris | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 | 2017-09-20 |
| 1922538206 | Sarah Frerichs | Dentist | Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 | 2017-06-19 |
| 1740736495 | Misty Hill | Dental Assistant | 9119 Mill Park Ave, Tacoma, WA 98431 | 2016-08-31 |
| 1336695535 | Jacqueline D Massouda | Dentist | Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 | 2016-08-28 |
| 1609239375 | Gregg V Palmer | Licensed Practical Nurse | 17th and C Street, Bldg 11582, Tacoma, WA 98431 | 2016-03-31 |
| 1114323904 | Deanna Sheets | Nurse Practitioner | 911 Mil Park Ave, Tacoma, WA 98431 | 2014-11-06 |
| 1679905434 | Austin William Schaar | Dentist | Building 9900, 2nd Floor, Tacoma, WA 98431 | 2013-08-05 |
| 1518209758 | Maurice Ibrahim Khayat | Internal Medicine | 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 | 2013-03-26 |
| Find all providers in zip 98431 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326397852 | Joshua Eldon Greenwood | Pharmacist | 1148 Broadway Plaza Suite 400 Mailstop 06-04, Tacoma, WA 98402 | 2012-08-30 |
| 1982900189 | Thomas Allen Simpson | Pharmacist | 1520 N Prospect St, Tacoma, WA 98406-8108 | 2011-02-04 |
| 1558969212 | Seongeun Kim | Pharmacist | 12105 Pacific Ave S, Tacoma, WA 98444-5124 | 2020-10-15 |
| 1891301248 | Yaoyi Xiao | Pharmacist | 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2020-09-21 |
| 1144796046 | Michael Troy Miller | Pharmacist | 1717 S J St # Ms 01-79, Tacoma, WA 98405-4933 | 2018-10-17 |
| 1669953261 | Miguel A Toscano | Pharmacist | 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2018-08-22 |
| 1295226165 | Nancy Benavides | Pharmacist | 209 M.l.k. Jr Way, Tacoma, WA 98405 | 2018-05-25 |
| 1821474818 | Mary Brim | Pharmacist | 311 S L St, Tacoma, WA 98405 | 2015-08-03 |
| 1427473438 | Rodney Nicolas | Pharmacist | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2014-02-27 |
| 1013256262 | Andrew Kenneth Yu | Pharmacist | 209 Martin Luther King Jr Way, Tacoma, WA 98405-4265 | 2013-02-07 |
| Find all providers in TACOMA | ||||
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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.