KIM SATO (NPI# 1134559487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134559487 |
| Entity Type | Individual |
| Full Name | KIM SATO |
| Practice Address |
2497 Se Burnside Rd Gresham OR 97080-1246 |
| Practice Telephone | 5036694200 |
| Enumeration Date | 2013-11-24 |
| Last Update Date | 2013-11-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 0013878 | OR | Pharmacy Service Providers |
| Street Address |
2497 SE BURNSIDE RD |
| City | GRESHAM |
| State | OR |
| Zip Code | 97080-1246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457396525 | Fred Meyer Stores Inc | Pharmacy | 2497 Se Burnside Rd, Gresham, OR 97080-1246 | 2006-06-20 |
| 1790186450 | Melina Wheeler | Pharmacist | 2497 Se Burnside Rd, Gresham, OR 97080-1246 | 2014-09-11 |
| 1508292764 | Sean Harry Finn | Pharmacist | 2497 Se Burnside Rd, Gresham, OR 97080-1246 | 2013-09-19 |
| 1326384900 | Yolanda Tiu Santiago | Pharmacist | 2497 Se Burnside Rd, Gresham, OR 97080-1246 | 2012-12-29 |
| 1891052700 | Amanda Ruth Norman | Pharmacist | 2497 Se Burnside Rd, Gresham, OR 97080-1246 | 2012-04-16 |
| 1467725432 | Gabriel Tucker Bertell | Pharmacist | 2497 Se Burnside Rd, Gresham, OR 97080-1246 | 2012-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528428554 | Jeffrey Henry Lucero | Social Worker | 4687 Se 1st Terrace, Gresham, OR 97080 | 2016-03-03 |
| 1124371059 | Nickole Turner | Massage Therapist | 2831 Se Palmquist Rd #157, Gresham, OR 97080 | 2012-10-16 |
| 1992061048 | Russell A Wendt | Pharmacist | 2497 Ne Roberts Ave, Gresham, OR 97080 | 2012-04-03 |
| 1821385584 | Angela West | Counselor | 320 Sw 6th Ave., Gresham, OR 97080 | 2011-07-01 |
| 1043543572 | Natalie Dawn Wilson | Behavioral Analyst | 97 Sw Riverview Place, Gresham, OR 97080 | 2009-09-16 |
| 1427205442 | Maria G Jolley | Dental Hygienist | 1267 Se Stapleton Loop, Gresham, OR 97080 | 2008-08-21 |
| 1073776738 | Sabrina Joye Hindman | Marriage & Family Therapist | 6370 Se 26th St, Gresham, OR 97080 | 2008-07-03 |
| 1669676193 | Kimberly Sabin | Nurse Practitioner | 2222 E Powell Blvd, Gresham, OR 97080 | 2007-06-11 |
| 1932223880 | Julie Elizabeth Croshaw | Pharmacist | 2444 E Powell Blvd, Gresham, OR 97080 | 2007-03-18 |
| 1508903261 | Lonetta Elise Davis | Adult Companion | 349 Se Plamblad, Gresham, OR 97080 | 2007-01-31 |
| Find all providers in zip 97080 | ||||
| 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 |
|---|---|---|---|---|
| 1841643681 | Laura Pahlmeyer | Pharmacist | 24988 Se Stark St Ste 220, Gresham, OR 97030-8324 | 2016-07-17 |
| 1992061048 | Russell A Wendt | Pharmacist | 2497 Ne Roberts Ave, Gresham, OR 97080 | 2012-04-03 |
| 1801160684 | William Robert Dupuis | Pharmacist | 2800 Ne Hogan Dr, Gresham, OR 97030-3100 | 2012-02-27 |
| 1326352030 | Jeffery Bradford Yates | Pharmacist | 1555 Ne Division St, Gresham, OR 97030-4271 | 2010-08-05 |
| 1497084453 | Katherine Cheng | Pharmacist | 439 Se 223rd Ave, Gresham, OR 97030 | 2009-12-21 |
| 1356595821 | Jeffrey Robert Nikolaisen | Pharmacist | 439 Southeast 223rd Avenue, Gresham, OR 97030 | 2008-11-11 |
| 1932223880 | Julie Elizabeth Croshaw | Pharmacist | 2444 E Powell Blvd, Gresham, OR 97080 | 2007-03-18 |
| 1386255156 | Crystal Jihyun Rim | Pharmacist | 24988 Se Stark St Ste 220, Gresham, OR 97030-8324 | 2020-08-13 |
| 1093227548 | Tatyana Shiyenkova | Pharmacist | 1555 Ne Division St, Gresham, OR 97030-4271 | 2017-10-24 |
| 1174068126 | Justin Ngo | Pharmacist | 4285 W Powell Blvd, Gresham, OR 97030-5050 | 2016-12-29 |
| Find all providers in GRESHAM | ||||
Please comment or provide details below to improve the information on KIM SATO.
| 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.