DR. JASON S KIM (NPI# 1205837945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205837945 |
| Entity Type | Individual |
| Full Name | DR. JASON S KIM |
| Credential | PHARM.D. |
| Practice Address |
12724 Sagamore Rd Leawood KS 66209 |
| Practice Telephone | 8582202615 |
| Mailing Telephone | 8582202615 |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2017-03-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PST.020110 | LA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | LA BOARD OF PHARMACY | PST.020110 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467913863 | Jason Donghyun Kim | Dentist | 542 New York Ave, Lyndhurst, NJ 07071-1532 | 2019-03-28 |
| 1023474921 | Jason Kim | Chiropractor | 2035 Royal Ln Ste 200, Dallas, TX 75229-7206 | 2016-01-07 |
| 1952785735 | Jason Kim | Dentist | 616 Virginia Beach Blvd Ste 102, Virginia Beach, VA 23451-4274 | 2015-07-12 |
| 1871904045 | Jason Kim | Chiropractor | 11900 Ne 1st St, Suite 300, Bellevue, WA 98005-3046 | 2014-05-09 |
| 1629302138 | Jason Kim | Dentist | 2220 Smokewood Ave, Fullerton, CA 92831-1107 | 2009-09-30 |
| 1275707846 | Jason Michael Kim | Urology | Department of Urology Hsc 9, Stony Brook University Medical Center, Stony Brook, NY 11794-7148 | 2008-04-15 |
| 1245451772 | Jason Jongwoon Kim | Acupuncturist | 16303 S. Western Ave., Suite 9, Gardena, CA 90247-4674 | 2007-05-01 |
| 1790793750 | Jason Kim | Dentist | 144-48 Roosevelt Ave, Ste Md-b, Flushing, NY 11354 | 2006-08-04 |
| 1013903475 | Jason Myungjoon Kim | Pharmacist | 8227 Woodman Ave, Panorama City, CA 91402-5426 | 2005-09-21 |
| 1205440104 | Jason Kim | Student in an Organized Health Care Education/Training Program | 11601 S Western Ave, Los Angeles, CA 90047-5006 | 2020-09-08 |
| Street Address |
12724 SAGAMORE RD |
| City | LEAWOOD |
| State | KS |
| Zip Code | 66209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265900286 | Kansas Wellness Associates LLC | Family Medicine | 4300 W 133rd Street, Suite 200, Leawood, KS 66209 | 2018-11-07 |
| 1740781871 | Courtney Collins | Physical Therapy Assistant | 6830 W. 121st. Ct, Overland Park, KS 66209 | 2018-02-23 |
| 1295246015 | Meredith Meyer Bell | Nurse Practitioner | 5064 W 130th Terrace, Leawood, KS 66209 | 2017-10-19 |
| 1740712223 | Margaret Alice Luckert | Registered Nurse | 5701 W 119th Street Suite 220, Overland Park, KS 66209 | 2017-04-03 |
| 1609311133 | Kansas City Community Hospital, LLC | General Acute Care Hospital | 13200 State Line Road, Leawood, KS 66209 | 2016-12-19 |
| 1316492499 | Christy Vopat | Occupational Therapist | 4952 W. 129 Th Terr, Leawood, KS 66209 | 2016-08-18 |
| 1861846594 | Paige Aberasturi Penick | Nutritionist | 6709 W 119th St # 207, Overland Park, KS 66209 | 2016-04-19 |
| 1568827905 | Eating Disorder Treatment Associates, LLC | Clinic/Center | 12140 Nall Avenue, Suite 315, Overland Park, KS 66209 | 2015-12-30 |
| 1689056483 | Michael Hauber | Physical Therapist | 12728 State Line Rd, Leawood, KS 66209 | 2015-06-29 |
| 1033597000 | Brooke J Heppner Mft | Marriage & Family Therapist | 6711 W. 121st Street, Suite 101, Overland Park, KS 66209 | 2015-05-11 |
| Find all providers in zip 66209 | ||||
| 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 |
|---|---|---|---|---|
| 1114483989 | Ines Fomaga Tsotezo | Pharmacist | 8316 Overbrook Rd, Leawood, KS 66206-1542 | 2019-02-15 |
| 1427580901 | Debra Richmond | Pharmacist | 5320 W 154th St, Leawood, KS 66224-3657 | 2017-04-03 |
| 1265807002 | Lorraine Woods | Pharmacist | 12122 State Line Rd, Leawood, KS 66209-1254 | 2015-12-04 |
| 1811393978 | Jessica Mcroberts | Pharmacist | 12122 Stateline Rd, Leawood, KS 66209 | 2014-11-17 |
| 1750681433 | Diann G. West | Pharmacist | 11618 Tomahawk Creek Pkwy Apt I, Leawood, KS 66211-2639 | 2010-10-27 |
| 1780905778 | Michele Wood | Pharmacist | 12009 Norwood Rd, Leawood, KS 66209-1145 | 2010-06-14 |
| 1972622538 | Kellie J Andreesen | Pharmacist | 12200 State Line Rd, Leawood, KS 66209-1217 | 2007-03-28 |
| 1942811575 | Cale Moyer | Pharmacist | 4701 Town Center Dr, Leawood, KS 66211-2037 | 2020-08-17 |
| 1467955054 | John Comstock | Pharmacist | 5230 W 151st St, Leawood, KS 66224-8702 | 2018-03-10 |
| 1174067474 | David John Hanson | Pharmacist | 12122 State Line Rd, Leawood, KS 66209-1254 | 2016-12-06 |
| Find all providers in LEAWOOD | ||||
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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.