MR. JUN SUNG KIM (NPI# 1083123210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083123210 |
| Entity Type | Individual |
| Full Name | MR. JUN SUNG KIM |
| Credential | RPH |
| Practice Address |
19624 69th Ave Fl 2 Fresh Meadows NY 11365-4033 |
| Practice Telephone | 5166607554 |
| Mailing Telephone | 5166607554 |
| Enumeration Date | 2017-09-20 |
| Last Update Date | 2017-09-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 063429 | NY | Pharmacy Service Providers |
| Street Address |
19624 69TH AVE FL 2 |
| City | FRESH MEADOWS |
| State | NY |
| Zip Code | 11365-4033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427660653 | Melanie Batista | Massage Therapist | 71-55 Parsons Blvd, Fresh Meadows, NY 11365 | 2020-08-19 |
| 1497396378 | Celestina Andino | Registered Nurse | 194-15b 64th Circle, 3c, Fresh Meadows, NY 11365 | 2019-10-02 |
| 1659939304 | Bracha Kosoff | Occupational Therapist | 71-64 168th St., Flushing, NY 11365 | 2019-05-29 |
| 1295290419 | Kate Okeke | Licensed Practical Nurse | 188 04 64th Avenue, Fresh Meadow, NY 11365 | 2019-02-01 |
| 1669951497 | Jihee Woo | Registered Nurse | 189-04 6f Fresh Meadows, Queeens, NY 11365 | 2018-08-13 |
| 1710465125 | In Hye Choi | Acupuncturist | 67-02a 188st., Apt 3b, Fresh Meadows, NY 11365 | 2018-07-30 |
| 1497231112 | Shamain C Persaud | Case Manager/Care Coordinator | 67-28 188th Street, Fresh Meadows, NY 11365 | 2018-07-16 |
| 1598280489 | Gabriella Pamela Koyenova | Physician Assistant | 69-24 181st Street, Fresh Meadows, NY 11365 | 2017-08-11 |
| 1750802781 | Nicola Coley | Behavioral Analyst | 6747 161st Street, 1k, Flushing, NY 11365 | 2017-06-29 |
| 1811427941 | Jong M Lee | Acupuncturist | 6020b 194th St Apt 3b, Fresh Meadows, NY 11365 | 2017-06-12 |
| Find all providers in zip 11365 | ||||
| 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 |
|---|---|---|---|---|
| 1821639493 | Rachel Alishayev | Pharmacist | 7207 166th St, Fresh Meadows, NY 11365-3237 | 2019-10-03 |
| 1104467265 | Chia Yun Siu | Pharmacist | 6927 174th St, Fresh Meadows, NY 11365-3410 | 2019-09-30 |
| 1225689458 | Ester Kandov | Pharmacist | 6414 182nd St, Fresh Meadows, NY 11365-2113 | 2019-09-29 |
| 1194291443 | Michael Babakhanov | Pharmacist | 6548 169th St, Fresh Meadows, NY 11365-1946 | 2018-10-15 |
| 1275014920 | Ariella Muratova | Pharmacist | 7018 167th St, Fresh Meadows, NY 11365-3230 | 2018-08-21 |
| 1275043804 | Vyungjean Ahn | Pharmacist | 18802 64th Ave Apt 10j, Fresh Meadows, NY 11365-3810 | 2017-10-10 |
| 1093233124 | Christina Liu | Pharmacist | 6523 171st St, Fresh Meadows, NY 11365-2025 | 2017-09-08 |
| 1609391127 | Bin Lin | Pharmacist | 6978 183rd St, Fresh Meadows, NY 11365-3536 | 2017-08-05 |
| 1811421639 | Natalie Fuzailov | Pharmacist | 7343 178th St, Fresh Meadows, NY 11366-1625 | 2017-04-18 |
| 1447793369 | Michael Shamayev | Pharmacist | 6939 198th St, Fresh Meadows, NY 11365-4019 | 2016-11-25 |
| Find all providers in FRESH MEADOWS | ||||
| City | FRESH MEADOWS |
| Zip Code | 11365 |
Please comment or provide details below to improve the information on MR. JUN SUNG 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.