MRS. DEBORAH EUN KYOUNG KIM (NPI# 1053633859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053633859 |
| Entity Type | Individual |
| Full Name | MRS. DEBORAH EUN KYOUNG KIM |
| Practice Address |
5400 S Cedar St Lansing MI 48911-3858 |
| Practice Telephone | 5173936804 |
| Practice Fax Number | 5173932846 |
| Mailing Telephone | 5173936804 |
| Mailing Fax Number | 5173932846 |
| Enumeration Date | 2010-02-20 |
| Last Update Date | 2010-02-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 5302033751 | MI | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952723132 | Deborah Kim | Internal Medicine | 51 French St # 491b, New Brunswick, NJ 08901 | 2014-01-07 |
| 1770884991 | Deborah Kiyeon Kim | Dentist | 75 Washington St Ste 204, Norwell, MA 02061-1795 | 2010-11-04 |
| 1568697308 | Deborah Kim | Occupational Therapist | 1855 Diamond St, #107, San Diego, CA 92109-3358 | 2009-05-22 |
| 1588736490 | Deborah Y Kim | Dentist | 3416 Olandwood Ct Ste 206, Olney, MD 20832-1373 | 2006-11-15 |
| 1033290184 | Deborah Minhee Kim | Dentist | 18930 Carmenita Road, Suite B, Cerritos, CA 90703 | 2006-10-17 |
| 1346809837 | Deborah Kim | Behavior Technician | 466 Main St Ste Ll20, New Rochelle, NY 10801-6431 | 2019-06-10 |
| 1538669734 | Deborah Sungja Kim | Acupuncturist | 16315 Northern Blvd Ste 3, Flushing, NY 11358-2667 | 2018-02-15 |
| 1043679533 | Deborah Kim | Behavioral Analyst | 2020 Se Powell Blvd, Portland, OR 97202-2345 | 2016-02-12 |
| 1225413453 | Deborah Kim | Marriage & Family Therapist | 3155 College Ave, Berkeley, CA 94705 | 2015-07-29 |
| 1033500483 | Deborah Kim | Clinic/Center | 4618 Fountain Ave, Los Angeles, CA 90029-1977 | 2015-02-06 |
| Street Address |
5400 S CEDAR ST |
| City | LANSING |
| State | MI |
| Zip Code | 48911-3858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861855868 | Kmart Corporation | Pharmacist | 5400 S Cedar St, Lansing, MI 48911-3858 | 2016-03-29 |
| 1255767810 | Stephen Mayros | Pharmacist | 5400 S Cedar St, Lansing, MI 48911-3858 | 2013-09-16 |
| 1407178270 | Roger Alan Vanwyke | Pharmacist | 5400 S Cedar St, Lansing, MI 48911-3858 | 2010-02-22 |
| 1588695571 | Kmart of Michigan Inc | Pharmacy | 5400 S Cedar St, Lansing, MI 48911-3858 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154943603 | Promissa Personalized Care Services LLC | Assisted Living Facility | 200 E Edgewood Blvd, Lansing, MI 48911 | 2020-05-07 |
| 1457911877 | Zachary Todd Goldstein | Pediatrics | Cedar Pediatrics 5303 S. Cedar St, Suite 205, Lansing, MI 48911 | 2019-06-18 |
| 1447713946 | Fadi Nuseibeh | Pharmacist | 3955 Patient Care Drive, Pharmacy, Lansing, MI 48911 | 2019-04-11 |
| 1740704543 | Kyle Lardie | Dental Hygienist | Care Free Medical and Dental 5135 S Pennsylvania Ave, Lansing, MI 48911 | 2017-08-02 |
| 1124549845 | Joash Michael Charles | Behavior Technician | 3720 Richmond Street, Lansing, MI 48911 | 2017-07-03 |
| 1205212164 | Benjamin Curtis Neal | Dentist | 5601 S Cedar St., Lansing, MI 48911 | 2015-08-03 |
| 1376927608 | Heather Lamb | Home Health | 2919 Risdale St, Lansing, MI 48911 | 2015-07-16 |
| 1669861712 | Lucas James Evan Joseph Bila | Licensed Practical Nurse | 2204 S. Wadsworth Dr, Lansing, MI 48911 | 2015-01-13 |
| 1649695271 | Aaron James Hart | Occupational Therapist | 3960 Patient Care Dr Ste 117, Lansing, MI 48911 | 2014-02-18 |
| 1831465871 | Los Equipment Corporation | Dentist | 6810 S. Cedar St, Suite 5, Lansing, MI 48911 | 2012-03-23 |
| Find all providers in zip 48911 | ||||
| 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 |
|---|---|---|---|---|
| 1053945055 | Ali Mchawrab | Pharmacist | 5118 S Mlk Blvd, Lansing, MI 48911-3536 | 2020-02-27 |
| 1093348195 | Snehal Patel | Pharmacist | 5118 S Martin Luther King Jr Blvd, Lansing, MI 48911-3536 | 2020-02-17 |
| 1356857296 | Robert P Ross | Pharmacist | 1601 E Michigan Ave Ste 2, Lansing, MI 48912-2894 | 2017-12-14 |
| 1205382249 | Mohammed Zohair Vaid | Pharmacist | 3106 E Saginaw St, Lansing, MI 48912-4712 | 2016-08-30 |
| 1215367149 | Thomas Ball | Pharmacist | 5125 W Saginaw, Lansing, MI 48917 | 2013-11-13 |
| 1730513862 | Eric D Roath | Pharmacist | 408 Kalamazoo Plz, Lansing, MI 48933-1901 | 2013-08-26 |
| 1619301090 | C Arla Avis Vinson | Pharmacist | 17355 Torrence Ave, Lansing, IL 60438-1018 | 2013-08-21 |
| 1164774659 | Bona Birki Gada | Pharmacist | 2410 W. Willow St, Apt A203, Lansing, MI 48917 | 2012-10-08 |
| 1699037515 | Sandra Angela Campbell | Pharmacist | 7006 Captiva Dr, Lansing, MI 48917-5821 | 2012-06-15 |
| 1801160551 | Marshall Gordon | Pharmacist | 1121 Pacific Ave, Lansing, MI 48910-3564 | 2012-02-28 |
| Find all providers in LANSING | ||||
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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.