GRACE KIM (NPI# 1053776997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053776997 |
| Entity Type | Individual |
| Full Name | GRACE KIM |
| Credential | PHARM.D. |
| Practice Address |
1060 Raritan Rd Clark NJ 07066-1313 |
| Practice Telephone | 7323400081 |
| Mailing Telephone | 7323400081 |
| Enumeration Date | 2015-12-18 |
| Last Update Date | 2015-12-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 28RI03663900 | NJ | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407417611 | Grace Kim | Acupuncturist | 414 N Coast Highway 101, Encinitas, CA 92024-2529 | 2019-06-27 |
| 1417415662 | Grace Kim | Dietitian, Registered | 2120 Evergreen Dr, San Bruno, CA 94066-1828 | 2019-03-06 |
| 1467971283 | Grace Y Kim | Student in an Organized Health Care Education/Training Program | Lacdmh Hucla 1000 W. Carson Street, Torrance, CA 90502 | 2017-09-13 |
| 1023405305 | Grace Eunheh Kim | Dentist | 7112 Ed Bluestein Blvd Ste 130, Austin, TX 78723-2924 | 2015-04-23 |
| 1679991897 | Grace Kim | Pediatrics | 925 E Southlake Blvd, Suite 100, Southlake, TX 76092 | 2014-04-03 |
| 1437572153 | Grace Kim | Occupational Therapist | 1607 W Redondo Beach Blvd, Gardena, CA 90247-3241 | 2014-01-31 |
| 1912335001 | Grace Jiin Kim | Acupuncturist | 61 Campbell Ave, Woodcliff Lake, NJ 07677-8061 | 2013-10-29 |
| 1255766119 | Grace Kim | Registered Nurse | 19416 37th Ave, Flushing, NY 11358-4003 | 2013-09-11 |
| 1366787103 | Grace G Kim | Physical Therapist | 375 Dover Chester Rd, Randolph, NJ 07869-3910 | 2012-12-05 |
| 1255684189 | Grace Donghwa Kim | Acupuncturist | 61 E 75th St Fl 2, New York, NY 10021-2739 | 2012-10-16 |
| Street Address |
1060 RARITAN RD |
| City | CLARK |
| State | NJ |
| Zip Code | 07066-1313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861552002 | Great Atlantic & Pacific Tea Company Inc | Pharmacy | 1060 Raritan Rd, Clark, NJ 07066-1313 | 2006-12-11 |
| 1396345013 | Andrew Leon Quiros | Pharmacist | 1060 Raritan Rd, Clark, NJ 07066-1313 | 2020-10-30 |
| 1366952806 | Acme Markets Inc | Durable Medical Equipment & Medical Supplies | 1060 Raritan Rd, Clark, NJ 07066-1313 | 2017-10-11 |
| 1790152536 | Acme Markets Inc | Durable Medical Equipment & Medical Supplies | 1060 Raritan Rd, Clark, NJ 07066 | 2015-08-27 |
| 1770844961 | Neha K Puwar | Pharmacist | 1060 Raritan Rd, Clark, NJ 07066-1313 | 2012-06-04 |
| 1649448168 | Arlene Hamilton | Pharmacist | 1060 Raritan Rd, Clark, NJ 07066-1313 | 2008-02-19 |
| 1548448707 | Chirag Thakkar | Pharmacist | 1060 Raritan Rd, Clark, NJ 07066-1313 | 2008-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215491493 | Diane Juanita Pearson | Counselor | 49 Brant Ave Suit 3, Massler Psychological Associates, Clark, NJ 07066 | 2019-01-22 |
| 1356831754 | Christopher Dasilva | Physical Therapist | 77 Brant Avenue, Suite 101, Clark, NJ 07066 | 2018-05-11 |
| 1205350030 | City Medical of New Jersey, PC | Clinic/Center | Rarity Unit F4b, 1225 Raritan Road, Clark, NJ 07066 | 2017-08-02 |
| 1184150682 | Fyzical Therapy & Balance Center | Physical Therapist | 132-1 Westfield Ave, Clark, NJ 07066 | 2017-05-04 |
| 1164829826 | Adavanced Spine Rehabilitation LLC | Chiropractor | 1171 Old Raritan Rd, Clark, NJ 07066 | 2014-11-24 |
| 1083838395 | Stephen D Bosonac | Dentist | 979 Raritan Road, Clark, NJ 07066 | 2007-04-11 |
| 1972637965 | Jay Andrew Paris | Chiropractor | 67 Westfield Ave, Clark, NJ 07066 | 2007-03-14 |
| 1821121484 | David Kinley Jr. | Acupuncturist | 668 Raritan Rd, Clark, NJ 07066 | 2007-03-13 |
| 1811036122 | Betty C Mclendon | Psychologist | 623 Raritan Road, Clark, NJ 07066 | 2007-02-05 |
| 1710039623 | Cornerstone Physical Therapy Inc | Physical Therapist | 152 Central Ave 2nd Floor, Clark, NJ 07066 | 2007-01-18 |
| Find all providers in zip 07066 | ||||
| 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 |
|---|---|---|---|---|
| 1063830008 | Upasana S Bhatt | Pharmacist | 72 Sweet Briar Dr Apt 24, Clark, NJ 07066-2026 | 2014-04-06 |
| 1396056370 | Jeanette Brzyski | Pharmacist | 142 Central Ave, Clark, NJ 07066-1108 | 2010-06-24 |
| 1609003136 | Janette Alonso Cardoso | Pharmacist | 103 Fairview Rd, Clark, NJ 07066-2904 | 2009-06-11 |
| 1427051564 | Richard Edward Corritore Jr. | Pharmacist | 136 Central Ave, Clark, NJ 07066-1142 | 2005-05-23 |
| 1396345013 | Andrew Leon Quiros | Pharmacist | 1060 Raritan Rd, Clark, NJ 07066-1313 | 2020-10-30 |
| 1386271351 | Sunita Kumar | Pharmacist | 60 Westfield Ave, Clark, NJ 07066-3225 | 2020-03-26 |
| 1093236424 | Vy Thuc Wu | Pharmacist | 136 Central Ave, Clark, NJ 07066-1142 | 2017-07-06 |
| 1447627294 | Jacklin Barreira | Pharmacist | 142 Central Ave, Clark, NJ 07066-1108 | 2015-08-27 |
| 1790176584 | Ayat Belal Elsisi | Pharmacist | 45 Central Ave, Clark, NJ 07066-1421 | 2015-02-15 |
| 1316338700 | Michelle Bublick | Pharmacist | 76 Central Ave, Clark, NJ 07066-1422 | 2015-02-06 |
| Find all providers in CLARK | ||||
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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.