ELLEN KIM (NPI# 1013321108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013321108 |
| Entity Type | Individual |
| Full Name | ELLEN KIM |
| Credential | RPH |
| Practice Address |
3300 Centennial Ln Ellicott City MD 21042-3600 |
| Mailing Address |
3300 A Centennial Lane Ellicott City MD 21042 |
| Practice Telephone | 4107509439 |
| Mailing Telephone | 4107509439 |
| Mailing Fax Number | 4107508879 |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2014-06-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 13884 | MD | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548331564 | Ellen Hyun Ju Kim | Pediatrics | 2329 East Huntington Drive, Duarte, CA 91010 | 2006-11-13 |
| 1124024229 | Ellen M Kim | Internal Medicine | 19200 N Kelsey St, Monroe, WA 98272-1431 | 2005-06-23 |
| 1275161879 | Ellen Kim | Student in an Organized Health Care Education/Training Program | 1438 S Grand Blvd, Saint Louis, MO 63104-1027 | 2020-03-30 |
| 1265982821 | Ellen Kim | Occupational Therapist | 8135 Painter Ave Ste 200, Whittier, CA 90602-3168 | 2016-10-07 |
| 1710374103 | Ellen Kim | Radiology | 75 Francis St, Asb1- L2, Boston, MA 02115-6110 | 2015-04-23 |
| 1982044806 | Ellen Kim | Pharmacist | 164 W Chelten Ave, Philadelphia, PA 19144-3302 | 2013-06-25 |
| 1912249400 | Ellen Sohyun Kim | Internal Medicine | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2013-03-22 |
| 1689847584 | Ellen Kim | Pharmacist | 1000 1st Ave, New York, NY 10022-4105 | 2008-04-11 |
| 1912069329 | Ellen H Kim | Family Medicine | 2324 Second Street Pike, Wrightstown Family Medicine PC, Wrightstown, PA 18940-4110 | 2006-12-14 |
| 1275600637 | Ellen Kim | Family Medicine | 4253 Montgomery Blvd Ne, Suite 100, Albuquerque, NM 87109-1106 | 2006-11-29 |
| Street Address |
3300 CENTENNIAL LN |
| City | ELLICOTT CITY |
| State | MD |
| Zip Code | 21042-3600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790069490 | Stephanie Rae Gillis | Nurse Practitioner | 3300 Centennial Ln, Ellicott City, MD 21042-3600 | 2011-09-29 |
| 1821635749 | Colman Ejerenwa | Nurse Practitioner | 3300 Centennial Ln, Ellicott City, MD 21042-3600 | 2019-12-10 |
| 1689148256 | Lauren Appiah | Nurse Practitioner | 3300 Centennial Ln, Ellicott City, MD 21042-3600 | 2019-01-17 |
| 1568953248 | Jacqueline Catherine Jones | Nurse Practitioner | 3300 Centennial Ln, Ellicott City, MD 21042 | 2018-05-29 |
| 1124539861 | Cynthia N Okonkwo | Nurse Practitioner | 3300 Centennial Ln, Ellicott City, MD 21042 | 2017-10-21 |
| 1326588278 | Cvs Aoc Services, L.L.C. | Audiologist | 3300 Centennial Ln, Ellicott City, MD 21042-3600 | 2017-02-26 |
| 1750826269 | Robert Wade Williams | Physician Assistant | 3300 Centennial Ln, Ellicott City, MD 21042-3600 | 2016-12-20 |
| 1053778449 | Yelizaveta Bavosa | Physician Assistant | 3300 Centennial Ln, Ellicott City, MD 21042-3600 | 2016-01-15 |
| 1396140752 | Felicia Talbott | Pharmacist | 3300 Centennial Ln, Ellicott City, MD 21042-3600 | 2014-10-28 |
| 1689073702 | Kimberly Sheedy | Pharmacist | 3300 Centennial Ln, Ellicott City, MD 21042-3600 | 2014-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861950792 | Danielle Coliukos | Student in an Organized Health Care Education/Training Program | 3006 Fawnwood Dr, Ellicott City, MD 21042 | 2019-03-11 |
| 1700356110 | Sung Hee Moon | Acupuncturist | 9005 Chevrolet Dr #4, Ellicott City, MD 21042 | 2018-11-28 |
| 1902375009 | Sharon N Allen | Speech-Language Pathologist | Hcpss, 10910 Clarksville Pike, Ellicott City, MD 21042 | 2018-11-19 |
| 1043700412 | Samirawit Hailemariam | Registered Nurse | 9527 Liverpool Lane, Ellicott City, MD 21042 | 2018-05-11 |
| 1144771965 | Maryland Psychotherapy Services | Community/Behavioral Health | 7054 Dorsey Hall Dr., Suite 104, Ellicott City, MD 21042 | 2016-10-17 |
| 1861851321 | The Lutheran Village At Miller's Grant, Inc. | Skilled Nursing Facility | 9000 Fathers Legacy, Ellicott City, MD 21042 | 2016-02-12 |
| 1942676952 | Hyoung Keun Kim | Dentist | 10033 Baltimore Pike Suite 320, Ellicott City, MD 21042 | 2015-08-13 |
| 1356743553 | Cvs Pharmacy | Pharmacist | 3300a Centennial Lane, Ellicott City, MD 21042 | 2014-09-18 |
| 1821407719 | Zulema Roberts | Counselor | 3355 St. Johns Lane, Suite F, Ellicott City, MD 21042 | 2014-08-05 |
| 1548681638 | Better Life Pain Clinic, Pllc | Physical Medicine & Rehabilitation | 3459 St. John's Lane, Suite 9, Ellicott City, MD 21042 | 2013-12-17 |
| Find all providers in zip 21042 | ||||
| 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 |
|---|---|---|---|---|
| 1518459536 | Caroline Timothy | Pharmacist | 2396 Ballard Way, Ellicott City, MD 21042-1780 | 2018-06-05 |
| 1780047746 | Barry Bress | Pharmacist | 3105 Story Book Ct, Ellicott City, MD 21042-2371 | 2016-03-29 |
| 1497139463 | Thai Huynh | Pharmacist | 3138 Rogers Ave, Ellicott City, MD 21043-3320 | 2015-07-19 |
| 1356743553 | Cvs Pharmacy | Pharmacist | 3300a Centennial Lane, Ellicott City, MD 21042 | 2014-09-18 |
| 1174923361 | Mohamed Fadl | Pharmacist | 6303 Woodchase Ct, Ellicott City, MD 21043-7949 | 2014-08-26 |
| 1902244700 | Thomas James Remsberg | Pharmacist | 3301 N Ridge Rd Ste 4, Ellicott City, MD 21043-7500 | 2013-06-13 |
| 1396012316 | Roopa Devang Pastakia | Pharmacist | 4380 Montgomery Rd, Ellicott City, MD 21043-6112 | 2011-11-18 |
| 1164702940 | Samia A Abdelmoneim | Pharmacist | 2540 Kensington Gdns, Unit # 102, Ellicott City, MD 21043-3618 | 2011-08-24 |
| 1023398351 | Robin Scott Gray | Pharmacist | 3538 Split Rail Ln, Ellicott City, MD 21042-3831 | 2011-08-17 |
| 1003119660 | Sherifat Fakunle | Pharmacist | 13318 Royden Ct, Ellicott City, MD 21042-1218 | 2010-12-20 |
| Find all providers in ELLICOTT CITY | ||||
| City | ELLICOTT CITY |
| Zip Code | 21042 |
Please comment or provide details below to improve the information on ELLEN KIM.
| 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.