JUNSUP JUSTIN AHN (NPI# 1144708082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144708082 |
| Entity Type | Individual |
| Full Name | JUNSUP JUSTIN AHN |
| Credential | PHARMD |
| Practice Address |
3801 Miranda Ave # 199 Palo Alto CA 94304-1290 |
| Practice Telephone | 6504935000 |
| Mailing Telephone | 6504935000 |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2018-08-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 123970 | MN | Pharmacy Service Providers |
| Street Address |
3801 MIRANDA AVE # 199 |
| City | PALO ALTO |
| State | CA |
| Zip Code | 94304-1290 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477170611 | Richard Engdahl | Specialist/Technologist, Other | 820 Quarry Road, Mc1078 Hf006, Palo Alo, CA 94304 | 2020-07-04 |
| 1720603582 | Lily Wenya Zhou | Psychiatry & Neurology | 780 Welch Road, Suite 350, Stanford Stroke Center, Palo Alto, CA 94304 | 2020-06-08 |
| 1033738521 | Perry Seo Choi | Student in an Organized Health Care Education/Training Program | Dept of Cardiothoracic Surgery, Falk Building, 870 Quarry Rd, Palo Alto, CA 94304 | 2020-04-14 |
| 1073150355 | Tara Mcdermott | Nurse Practitioner | 500 Pasteur Drive, Cardiovascular Intensive Care Unit, Palo Alto, CA 94304 | 2019-12-05 |
| 1811542723 | Mark Henry Chubb | Pediatrics | Stanford Children's Health, 725 Welch Road, Palo Alto, CA 94304 | 2019-08-07 |
| 1194285114 | Cora Steindl | Nurse Practitioner | 300 Pasteur Drive Rm H2512, Stanford, CA 94304 | 2019-03-25 |
| 1407333057 | Deborah Menet Landi | Social Worker | Lucile Packard Children's Hospital Stanford, 725 Welch, Mc 5933, Palo Alto, CA 94304 | 2018-07-26 |
| 1982100798 | Jonathan Hootman | Student in an Organized Health Care Education/Training Program | 900 Quarry Road Extension, Palo Alto, CA 94304 | 2018-04-02 |
| 1093234254 | Adam C Maclellan | Psychiatry & Neurology | Stanford Stroke Center, 780 Welch Road, Suite 350, Palo Alto, CA 94304 | 2017-09-19 |
| 1194248153 | Chanel Beaudoin Cloutier | Plastic Surgery | 770 Welch Road, Suite 400, Palo Alto, CA 94304 | 2017-07-21 |
| Find all providers in zip 94304 | ||||
| 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 |
|---|---|---|---|---|
| 1659919892 | Rebecca Swayngim | Pharmacist | 300 Pasteur Dr Rm H0301c, Palo Alto, CA 94304-2203 | 2019-12-18 |
| 1437626371 | Amy Ting Kyu | Pharmacist | 3801 Miranda Ave # 119pa, Palo Alto, CA 94304-1290 | 2018-10-29 |
| 1225519713 | Danielle Pham | Pharmacist | 3801 Miranda Ave Bldg 100, Palo Alto, CA 94304-1207 | 2018-08-23 |
| 1053860965 | Alice Weidemann | Pharmacist | 774 Allen Ct, Palo Alto, CA 94303-4110 | 2016-10-04 |
| 1114290418 | Noelle Kay Hasson | Pharmacist | 3801 Miranda Avenue (mail Code 119), Palo Alto, CA 94304 | 2012-02-16 |
| 1538443999 | Bill C Wong | Pharmacist | 875 Blake Wilbur Dr # Cc1101, Palo Alto, CA 94304-2205 | 2011-10-04 |
| 1528340049 | Judy Zhou | Pharmacist | 4252 Noble St, Palo Alto, CA 94306-4490 | 2011-09-10 |
| 1861770174 | Mick Okeefe | Pharmacist | 725 Welch Rd Fl 1, Palo Alto, CA 94304-1601 | 2011-08-03 |
| 1235455585 | Kan Lu | Pharmacist | 3801 Miranda Ave, Pharmacy Service (119), Va Palo Alto Health Care System, Palo Alto, CA 94304 | 2010-04-12 |
| 1912139403 | Chau Thanh Phan | Pharmacist | 1101 Welch Rd Ste C12, Palo Alto, CA 94304-1928 | 2009-08-17 |
| Find all providers in PALO ALTO | ||||
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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.