SUSAN KIM (NPI# 1013371210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013371210 |
| Entity Type | Individual |
| Full Name | SUSAN KIM |
| Credential | PHARM D |
| Practice Address |
192 Orchard Park Dr Apt 287 Davis CA 95616-5343 |
| Practice Telephone | 9168017459 |
| Mailing Telephone | 9168017459 |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2016-04-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 41265 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194339861 | Susan Haesook Kim | Pharmacist | 1400 2nd St, Edmod, Edmond, OK 73034 | 2020-09-01 |
| 1184263634 | Susan Kim | Pharmacist | 14529 28th Dr Se, Mill Creek, WA 98012-5707 | 2020-01-02 |
| 1548780901 | Susan Kim | Marriage & Family Therapist | 12625 High Bluff Dr Ste 103, San Diego, CA 92130-2053 | 2017-06-26 |
| 1861893000 | Susan Kim | Dietitian, Registered | 21011 Storrs Rd, Sackets Harbor, NY 13685-3172 | 2014-09-08 |
| 1033559505 | Susan Kim | Counselor | 2900 Eastlake Ave E, Suite 220, Seattle, WA 98102-3012 | 2013-06-28 |
| 1538424080 | Susan Soojin Kim | Specialist | 12 Sterling Pl, 1st Fl, Edgewater, NJ 07020-1415 | 2012-07-11 |
| 1427202456 | Susan Youn Kim | Optometrist | 3184 Queens East St, Eugene, OR 97401-8525 | 2008-11-04 |
| 1184807257 | Susan J. Kim | Physical Medicine & Rehabilitation | 7703 Floyd Curl Dr, Mc7798, San Antonio, TX 78229-3901 | 2007-12-12 |
| 1619019429 | Susan Kim | Acupuncturist | 4950 Wilshire Blvd, Los Angeles, CA 90010-3805 | 2007-02-12 |
| 1942352349 | Susan Chao Kim | Optometrist | 44414 Valley Central Way, Valley Central Shopping Center, Lancaster, CA 93536-6528 | 2007-01-17 |
| Street Address |
192 ORCHARD PARK DR APT 287 |
| City | DAVIS |
| State | CA |
| Zip Code | 95616-5343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560871 | Anne-frances Ostrander | Physical Therapy Assistant | 397 La Rue Rd, Davis, CA 95616 | 2020-08-26 |
| 1487271458 | Alix Peloso Mahon | Behavior Technician | 1212 Alvarado Ave Apt 68, Davis, CA 95616 | 2020-06-25 |
| 1427671882 | Dhhs Ihs Cao Sacred Oaks Healing Center | Substance Abuse Rehabilitation Facility | 33100 County Road 31, Davis, CA 95616 | 2020-05-20 |
| 1871126961 | Linda Marie Adams | Dietitian, Registered | Uc Davis Occupational Health, One Shields Ave - Cowell Hall Room 35, Davis, CA 95616 | 2020-02-17 |
| 1851935217 | Timothy James Johnston | Orthotist | 635 Anderson Rd., Suite 18, Davis, CA 95616 | 2019-10-29 |
| 1386290716 | Dakota Cool | Specialist/Technologist | 750 Orchard Road, Davis, CA 95616 | 2019-08-12 |
| 1366908618 | Capitol Periodontal Group | Dentist | 750 F Street #5, Davis, CA 95616 | 2019-02-12 |
| 1831663434 | Elisha Niccole Cusumano | Specialist/Technologist | 264 Hickey Gym, 1 Shields Ave, Davis, CA 95616 | 2019-01-16 |
| 1609364991 | Aron Matthew Katz | Psychologist | One Shield Ave, Student Health & Wellness Center, Bhp, Davis, CA 95616 | 2018-04-23 |
| 1316463938 | Arielle Pinkston | Marriage & Family Therapist | 203 F St, Davis, CA 95616 | 2017-08-15 |
| Find all providers in zip 95616 | ||||
| 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 |
|---|---|---|---|---|
| 1336700426 | Maha Saleh | Pharmacist | 3333 F St Apt 22, Davis, CA 95616-7550 | 2019-06-27 |
| 1053848127 | Thomas Joseph Dworkis | Pharmacist | 3131 Woods Cir, Davis, CA 95616-2686 | 2017-05-19 |
| 1053767178 | Sahar Sadig | Pharmacist | 1500 Shasta Dr Apt 128, Davis, CA 95616-6668 | 2016-05-07 |
| 1780058735 | Aliakbar Zarghami | Pharmacist | 909 Bliss Ct, Davis, CA 95618-4806 | 2015-11-13 |
| 1871995316 | Sarah Kae Smith | Pharmacist | 8203 Flag Run, Davis, WV 26260-8211 | 2014-09-16 |
| 1215364617 | Mitchell Given Davis | Pharmacist | 2002 Klee Pl, Davis, CA 95618-7617 | 2013-09-30 |
| 1952733776 | Reyn K Ono | Pharmacist | 428 Alvarado Ave, Davis, CA 95616-0754 | 2013-08-02 |
| 1588874218 | Mirabelle Han | Pharmacist | 655 Russell Blvd, Davis, CA 95616-3546 | 2007-05-23 |
| 1568670313 | Soheila Zahedpour | Pharmacist | 2135 Cowell Blvd, Davis, CA 95616-6388 | 2007-05-17 |
| 1720151202 | Maureen Colette Lloy Groux | Pharmacist | 635 Anderson Rd Ste 10, Sutter Davis Family Practice, Davis, CA 95616-3505 | 2006-11-15 |
| Find all providers in DAVIS | ||||
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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.