HENRY KIM (NPI# 1962753269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962753269 |
| Entity Type | Individual |
| Full Name | HENRY KIM |
| Credential | PHARMD |
| Practice Address |
12311 Academy Rd Philadelphia PA 19154-1927 |
| Practice Telephone | 2156374690 |
| Mailing Telephone | 2156374690 |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2012-09-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RP444242 | PA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912550021 | Henry Kim | Dentist | 26200 Redlands Blvd Apt 184, Redlands, CA 92373-7792 | 2019-07-17 |
| 1588850341 | Henry Kim | Acupuncturist | 5006 Montgomery Rd, Ellicott City, MD 21043-6719 | 2007-09-14 |
| 1174654339 | Henry H Kim | Dentist | 5680 W Flamingo Rd, Suite A, Las Vegas, NV 89103-0169 | 2007-03-08 |
| 1871555326 | Henry J Kim | Specialist | 58 Roy Beall Drive, Luverne, AL 36049-7329 | 2006-04-03 |
| 1700447091 | Henry Hyungjoo Kim | Acupuncturist | 650 E Thousand Oaks Blvd, Thousand Oaks, CA 91360-6009 | 2019-06-26 |
| 1366924144 | Henry Rok Kim | Dentist | 2417 Pacific Ave Se Ste A, Olympia, WA 98501-2052 | 2018-08-29 |
| 1972853430 | Henry Kim | Student in an Organized Health Care Education/Training Program | 110 Rehill Ave, Somerville, NJ 08876 | 2012-09-12 |
| 1598046575 | Henry Kim | Pharmacist | 620 Lafayette Rd, Hampton, NH 03842-3348 | 2011-09-02 |
| 1932309499 | Henry Hyuck Kun Kim | Dentist | 5414 Sunrise Blvd, Suite C, Citrus Heights, CA 95610-7803 | 2007-07-23 |
| 1083740708 | Henry Yunwoong Kim | Physical Medicine & Rehabilitation | 1460 N 16th Ave, Suite D, Yakima, WA 98902-7102 | 2007-02-26 |
| Street Address |
12311 ACADEMY RD |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19154-1927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912224197 | Sung S Cho | Pharmacist | 12311 Academy Rd, Philadelphia, PA 19154-1927 | 2010-04-27 |
| 1477190288 | Sherin Abu | Pharmacist | 12311 Academy Rd, Philadelphia, PA 19154-1927 | 2019-12-01 |
| 1114482924 | Sheena Cherian | Pharmacist | 12311 Academy Rd, Philadelphia, PA 19154-1927 | 2019-02-06 |
| 1881174753 | Samoela Xh Papa | Pharmacist | 12311 Academy Rd, Philadelphia, PA 19154-1927 | 2018-08-20 |
| 1538572698 | Dong-oh Lee | Pharmacist | 12311 Academy Rd, Philadelphia, PA 19154-1927 | 2014-06-06 |
| 1861805129 | Lisa Minecci Kutney | Pharmacist | 12311 Academy Rd, Philadelphia, PA 19154-1927 | 2014-06-04 |
| 1760737035 | Jay R Dave | Pharmacist | 12311 Academy Rd, Philadelphia, PA 19154-1927 | 2012-07-23 |
| 1497075022 | Fredric Cohen | Pharmacist | 12311 Academy Rd, Philadelphia, PA 19154-1927 | 2010-06-05 |
| 1891013587 | Larisa Charn | Pharmacist | 12311 Academy Rd, Philadelphia, PA 19154-1927 | 2010-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720624547 | Philadelphia Mills Dental Center | Dentist | 1318 Franklin Mills Cir #807, Philadelphia, PA 19154 | 2019-11-27 |
| 1952944472 | Lilian Trinh | Occupational Therapist | 2701 Southhampton Rd, Philadelphia, PA 19154 | 2019-10-28 |
| 1861964009 | Margaret Folkes | Occupational Therapist | 2900 Southhampton Road, Philadelphia, PA 19154 | 2018-12-28 |
| 1093231227 | Jeffrey Coulter | Counselor | 11732 Denman Road, Philadelphia, PA 19154 | 2017-08-18 |
| 1518358860 | Davida Godett | Community Health Worker | 12575 Chilton Rd, Phila, PA 19154 | 2015-02-09 |
| 1780962647 | Advanced Urgent Care of Franklin Market LLC | Family Medicine | 189 Franklin Mills Blvd, Philadelphia, PA 19154 | 2011-07-26 |
| 1639329675 | Hashaam Shahid | Technician/Technologist | 1706 Franklin Mills Circle, Eye Wise, Philadelphia, PA 19154 | 2008-09-26 |
| 1902077902 | Kathleen O'toole Rayca | Speech-Language Pathologist | 10913 Kipling Lane, Philadelphia, PA 19154 | 2008-03-18 |
| 1144303603 | Patricia Lillian Green | Counselor | 10360 Drummond Road, Philadelphia Center Human Development, Philadelphia, PA 19154 | 2006-10-20 |
| 1760589113 | Sam's Club Optical | Technician/Technologist | 1000 Franklin Mills Circle, Philadelphia, PA 19154 | 2006-09-20 |
| Find all providers in zip 19154 | ||||
| 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 |
|---|---|---|---|---|
| 1063013704 | Truong Vu | Pharmacist | 1675 Christopher Columbus Blvd, Philadelphia, PA 19148-1402 | 2020-11-07 |
| 1578170940 | Stephanie Quist | Pharmacist | 1 S Broad Street, Philadelphia, PA 19107 | 2020-09-29 |
| 1639797574 | Nikia Moody | Pharmacist | 3300 S Broad St, Philadelphia, PA 19145-5802 | 2020-07-07 |
| 1730706136 | William Galson | Pharmacist | 2732 E Venango St, Philadelphia, PA 19134-6121 | 2020-07-01 |
| 1801413489 | Kim-anh Tran | Pharmacist | 633 W Rittenhouse St Apt A204, Philadelphia, PA 19144-4327 | 2020-06-30 |
| 1376160374 | Amjad Azzawe | Pharmacist | 1335 Mount Vernon St, Philadelphia, PA 19123-3211 | 2020-06-25 |
| 1861017345 | Alice Hong Chandler | Pharmacist | 1405 S 10th St # At, Philadelphia, PA 19147-5608 | 2020-06-10 |
| 1710509518 | Nicholas Jospeh Carroll | Pharmacist | 21302 Delaire Landing Rd, Philadelphia, PA 19114-5205 | 2020-05-14 |
| 1053931303 | Wilson Wong | Pharmacist | Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 | 2020-04-16 |
| 1871129809 | Adina Klingman | Pharmacist | 5800 Woodland Ave, Philadelphia, PA 19143-5918 | 2020-03-21 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19154 |
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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.