AEJIN KWAK


Address: 1000 1st Dr Nw, Austin, MN 55912-2941
Phone: 5074341970

AEJIN KWAK (NPI# 1134752009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134752009
Entity Type Individual
Full Name AEJIN KWAK
Credential PHARM.D.
Practice Address 1000 1st Dr Nw
Austin
MN 55912-2941
Practice Telephone 5074341970
Mailing Telephone 5074341970
Enumeration Date 2020-02-19
Last Update Date 2020-02-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 122989 MN Pharmacy Service Providers

Office Location

Street Address 1000 1ST DR NW
City AUSTIN
State MN
Zip Code 55912-2941

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316941834 Diana L Nelson Physician Assistant 1000 1st Dr Nw, Austin, MN 55912-2941 2005-06-13
1811500341 Mayo Clinic Health System-southeast Minnesota Region Non-Pharmacy Dispensing Site 1000 1st Dr Nw, Austin, MN 55912-2941 2020-08-25
1992325674 Samantha Jo Barrie Occupational Therapist 1000 1st Dr Nw, Austin, MN 55912-2941 2020-04-22
1518513639 Sarah Lynne Gerard Nurse Practitioner 1000 1st Dr Nw, Austin, MN 55912-2941 2019-08-14
1134684566 Emily Majerus Physician Assistant 1000 1st Dr Nw, Austin, MN 55912-2941 2019-02-11
1154886992 Jennifer Ann Juers Nurse Practitioner 1000 1st Dr Nw, Austin, MN 55912-2941 2019-02-06
1528530821 Anna Altman Registered Nurse 1000 1st Dr Nw, Austin, MN 55912 2018-12-26
1861962045 Jennifer Rivers Family Medicine 1000 1st Dr Nw, Austin, MN 55912-2941 2018-11-29
1972072700 Kevin Todd Bartenberger Physician Assistant 1000 1st Dr Nw, Austin, MN 55912-2941 2018-11-22
1841771532 Francis Owusu Nurse Practitioner 1000 1st Dr Nw, Austin, MN 55912-2941 2018-08-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710538152 Reliable Medical Supply LLC Durable Medical Equipment & Medical Supplies 313 2nd Ave Ne, Austin, MN 55912 2019-09-26
1669029831 David Kuehn Specialist/Technologist 1508 Main St. N, Austin, MN 55912 2019-08-22
1841844396 Heather A Peterson Social Worker 101 21st Street Se, Austin, MN 55912 2019-08-01
1477058287 Gerard Academy Counselor 1101 28th St Ne, Austin, MN 55912 2018-03-26
1821518739 Steven Register Specialist/Technologist 1803 2nd Ave Sw, Austin, MN 55912 2017-06-21
1366849259 Kristen Ashley Templeton Dentist 800 1st Avenue Sw, Austin, MN 55912 2014-11-20
1336560333 Rem Woodvale, Inc. Cottonwood Intermediate Care Facility, Mentally Retarded 2311 9th Avenue Sw, Austin, MN 55912 2013-12-18
1780923458 Kurt Baumgartner Hearing Instrument Specialist 507 1 St Nw, Austin, MN 55912 2013-01-31
1396059242 Lorna Kay Siefke-harbor Psychologist 902 19th Ave Sw, Austin, MN 55912 2010-08-03
1972777068 Stanley Brent Stutzman Psychologist 301 12 Place Nw, Austin, MN 55912 2008-04-18
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Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730780230 Han Nguyen Pharmacist 12900 N Interstate 35 Ste 5, Austin, TX 78753-1054 2020-11-03
1164022620 Casey Nicole Franklin Pharmacist 13201 N Fm 620 Rd, Austin, TX 78717-1011 2020-10-26
1811595648 Lisa Nguyen Pharmacist 6908 Colorado Bluffs Rd, Austin, TX 78744-3330 2020-10-14
1184231680 Caroline Nguyen Pharmacist 12900 N Ih 35, Austin, TX 78753-1049 2020-09-29
1063028074 Deepika Mcconnell Pharmacist 2102 Peach Tree St, Austin, TX 78704-2843 2020-09-16
1982218004 Cassey Gracey Pharmacist 3201 Bee Caves Rd Ste 132, Austin, TX 78746-6777 2020-09-04
1518579440 Cassandra Castillo Pharmacist 5908 Daly Dr, Austin, TX 78747-4101 2020-08-21
1194336834 Shalini Tripathi Pharmacist 11506 Heathrow Dr, Austin, TX 78759-4428 2020-08-15
1528682986 Charlotte C Boyce Pharmacist 4150 Freidrich Ln Ste I, Austin, TX 78744-1052 2020-06-02
1295356723 Victoria Tackett Pharmacist 12005 Bee Caves Rd Ste 1a, Austin, TX 78738-6387 2020-05-06
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Competitor

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City AUSTIN
Zip Code 55912

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Dataset Information

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.

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