VIVIAN EUNGI KIM (NPI# 1912538836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912538836 |
| Entity Type | Individual |
| Full Name | VIVIAN EUNGI KIM |
| Credential | PHARMD |
| Practice Address |
14246 Roosevelt Ave Flushing NY 11354-6042 |
| Mailing Address |
24809 40th Ave Apt 2 Little Neck NY 11363-1748 |
| Practice Telephone | 7188880808 |
| Mailing Telephone | 7183093337 |
| Enumeration Date | 2020-01-29 |
| Last Update Date | 2020-01-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
066456 | NY | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790299626 | Vivian Danita Kim | Nurse Practitioner | 13801 Napoli Dr Apt 6210, Houston, TX 77070-2682 | 2017-11-30 |
| 1356865745 | Vivian Jiyoung Kim | Dentist | 32 Clinton St, Paterson, NJ 07522 | 2017-07-27 |
| 1669560041 | Vivian Y Kim | Ophthalmology | 7145 N Chestnut Ave, Fresno, CA 93720-0359 | 2006-10-10 |
| 1083666564 | Vivian Teresa Kim | Anesthesiology | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2006-05-16 |
| Street Address |
14246 ROOSEVELT AVE |
| City | FLUSHING |
| State | NY |
| Zip Code | 11354-6042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225181308 | Ny Family Pharmacy LLC | Pharmacy | 14246 Roosevelt Ave, Flushing, NY 11354-6042 | 2007-01-19 |
| 1184947822 | Nammi Yu | Pharmacist | 14246 Roosevelt Ave, Flushing, NY 11354-6042 | 2010-03-09 |
| 1003139304 | Helen H Chon | Pharmacist | 14246 Roosevelt Ave, Flushing, NY 11354-6042 | 2010-03-02 |
| 1053633347 | Eun Sun Kim | Pharmacist | 14246 Roosevelt Ave, Flushing, NY 11354-6042 | 2010-02-27 |
| 1629390117 | Soo Kim | Pharmacist | 14246 Roosevelt Ave, Flushing, NY 11354-6042 | 2010-02-24 |
| 1841512928 | Ounsil Lee | Pharmacist | 14246 Roosevelt Ave, Flushing, NY 11354-6042 | 2010-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699388157 | Laeana Rodriguez | Speech-Language Pathologist | 30-04 146th St, Flushing, NY 11354 | 2020-08-25 |
| 1508402413 | United Community Anesthesia Care Pllc | Anesthesiology | 3636 Maint St, 1s, Flushing, NY 11354 | 2019-11-26 |
| 1922658087 | Xiaoyan Fei | Social Worker | Charles B. Wang Community Health Center 136-26 37th Ave, Flushing, NY 11354 | 2019-09-19 |
| 1235797655 | Life Improvement Homecare, Inc. | Durable Medical Equipment & Medical Supplies | 38-08 Union Street, Suite 2j, Flushing, NY 11354 | 2019-05-31 |
| 1497214985 | Justin Young Lee | Registered Nurse | 143-23 38th Ave, Apt 2c, Flushing, NY 11354 | 2019-03-14 |
| 1669930962 | Jacqueline Nicole Liu | Student in an Organized Health Care Education/Training Program | 29-30 138th Street, Apartment 3f, Flushing, NY 11354 | 2019-03-05 |
| 1275003378 | Janet Poon | Pharmacist | 35-19 Leavitt St., #51, Flushing, NY 11354 | 2018-11-30 |
| 1659856490 | Xiaohui Wang Medical Pllc | Obstetrics & Gynecology | 135 16 Roosevelt Avenue, 3rd Floor, Flushing, NY 11354 | 2018-09-27 |
| 1063990687 | Harmony Care Physical Therapy PC | Clinic/Center | 35-05 Farrington Street, Ste A, Flushing, NY 11354 | 2018-08-06 |
| 1356827604 | Theresa S Cheung | Nurse Practitioner | 39-07 Prince St, Ste 3h, Flushing, NY 11354 | 2018-07-18 |
| Find all providers in zip 11354 | ||||
| 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 |
|---|---|---|---|---|
| 1215412101 | Orly Alaev | Pharmacist | 7248 Main St, Flushing, NY 11367-2408 | 2018-09-26 |
| 1093027336 | Regina Langer | Pharmacist | 5645 Main St, Flushing, NY 11355-5045 | 2010-07-01 |
| 1760706659 | Dulce Maria Lopez | Pharmacist | 14205 Roosevelt Ave, Apt402, Flushing, NY 11354-6045 | 2010-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285241794 | Erika Modh | Pharmacist | 6220 11th Ave, Brooklyn, NY 11219-5204 | 2020-09-29 |
| 1457990657 | Hina Khawaja | Pharmacist | 24 E 24th St, Huntington Station, NY 11746-3702 | 2020-01-06 |
| 1508411810 | Michael Richard Izzo | Pharmacist | 104 Reservoir Rd, Little Falls, NY 13365-5924 | 2019-08-04 |
| 1306498100 | Cerris Chung | Pharmacist | 320 E 94th St # 3f, New York, NY 10128-5604 | 2019-07-11 |
| 1558922419 | Jennifer Sophia Orozco | Pharmacist | 1275 York Ave # 710, New York, NY 10065-6007 | 2019-06-21 |
| 1558846014 | Lisa Chu | Pharmacist | 14634 23rd Ave, Whitestone, NY 11357-3514 | 2018-10-01 |
| 1841772514 | Salvatore Oreste | Pharmacist | 32 Alder Dr, Kings Park, NY 11754-2202 | 2018-08-30 |
| 1184138885 | B&t Port Richmond Pharmacy Inc. | Pharmacist | 251 Port Richmond Ave, Staten Island, NY 10302-1704 | 2017-11-17 |
| 1922510072 | Robert O'connell | Pharmacist | 3840 211th St Fl 2, Bayside, NY 11361-1956 | 2017-10-30 |
| 1427577048 | Fawzieh Mourtada | Pharmacist | Rite Aid, 540 West 235th Street, Bronx, NY 10643 | 2017-09-14 |
| 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.