STEPHEN S KIM (NPI# 1225387848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225387848 |
Entity Type | Individual |
Full Name | STEPHEN S KIM |
Credential | PHARM.D. |
Practice Address |
2201 Se Loop 820 Fort Worth TX 76119-5863 |
Practice Telephone | 8177300000 |
Mailing Telephone | 8177300000 |
Enumeration Date | 2012-08-29 |
Last Update Date | 2016-06-20 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | 67669 | CA | Pharmacy Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912444779 | Stephen Kim | Specialist/Technologist | 175 Sam Sibley Dr., Natchitoches, LA 71457 | 2017-01-31 |
1265765473 | Stephen Joseph Kim | Dentist | 1200 112th Ave Ne Ste B275, Bellevue, WA 98004-3738 | 2009-09-08 |
1043434483 | Stephen Hojong Kim | Dentist | 4061 Kirkpatrick Ln, Suite 100, Flower Mound, TX 75028 | 2007-04-13 |
1760539068 | Stephen Sae Chang Kim | Family Medicine | 177 Mouse Creek Rd Nw, Cleveland, TN 37312-3838 | 2007-01-05 |
1659449791 | Stephen Kim | Dentist | 7841 Commonwealth Ave, Buena Park, CA 90621-2422 | 2006-11-30 |
1376563403 | Stephen Alan Kim | Family Medicine | 3140 Legacy Dr Ste 720, Frisco, TX 75034-7917 | 2006-07-20 |
1740226893 | Stephen S Kim | Internal Medicine | 222 Ne Park Plaza Dr, Suite 100, Vancouver, WA 98684-5895 | 2006-06-20 |
1558909408 | Stephen Kim | Pharmacist | 1540 E Highland Ave, San Bernardino, CA 92404-4614 | 2019-12-11 |
1285175109 | Stephen Kim | Orthotist | 2434 W Peterson Ave, Chicago, IL 60659-4113 | 2017-03-10 |
1851750400 | Stephen Kim | Dentist | 5545 E Broadway Blvd Ste 107, Tucson, AZ 85711 | 2016-02-10 |
Street Address |
2201 SE LOOP 820 |
City | FORT WORTH |
State | TX |
Zip Code | 76119-5863 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245222629 | Dzung V Le | Internal Medicine | 2201 Se Loop 820, Fort Worth, TX 76119-5863 | 2005-08-22 |
1871192807 | Leslie Karen Hatch | Social Worker | 2201 Se Loop 820, Fort Worth, TX 76119-5863 | 2020-10-21 |
1144863978 | Rachelle Dinwiddie | Physical Medicine & Rehabilitation | 2201 Se Loop 820, Fort Worth, TX 76119-5863 | 2019-10-24 |
1922641703 | Ashley Young | Physical Therapy Assistant | 2201 Se Loop 820, Fort Worth, TX 76119-5863 | 2019-10-23 |
1073082533 | Abiena Cash | Nurse Practitioner | 2201 Se Loop 820, Fort Worth, TX 76119-5863 | 2018-11-14 |
1659846848 | Lucy Hahn | Pharmacist | 2201 Se Loop 820, Fort Worth, TX 76119-5863 | 2018-10-04 |
1033643077 | Christa Hadsell | Social Worker | 2201 Se Loop 820, Fort Worth, TX 76119-5863 | 2017-04-17 |
1073052510 | Panyell Thomas | Licensed Vocational Nurse | 2201 Se Loop 820, Fort Worth, TX 76119-5863 | 2017-02-16 |
1215397773 | Emily Callaway | Occupational Therapist | 2201 Se Loop 820, Fort Worth, TX 76119 | 2016-02-26 |
1144699968 | April R Brooks | Psychologist | 2201 Se Loop 820, Fort Worth, TX 76119-5863 | 2015-09-22 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467003111 | Asha Jamilia Robertson | Technician | 5321 Rita Kay Ln Lot #21, Fort Worth, TX 76119 | 2019-09-24 |
1801366406 | Gina Stovall | Behavioral Analyst | 1100 Circle Drive Suite 101, Fort Worth, TX 76119 | 2018-11-27 |
1730660374 | Lisa Alfaro Williams | Counselor | 3120, 22, 24 S.e. Loop 820, Fort Worth, TX 76119 | 2018-08-22 |
1023597366 | Gregoire M Butera | Registered Nurse | 3883 Mighty Mite Dr., Fort Worth, TX 76119 | 2018-08-08 |
1598244816 | Tawnya R Anderson | Registered Nurse | 3883 Mighty Mite Drive, Fort Worth, TX 76119 | 2018-08-08 |
1730699802 | Miller Dental Pllc | Dentist | 3307 Miller Ave Suite #a, Fort Worth, TX 76119 | 2017-10-03 |
1053853697 | Carla Walter | Community Health Worker | 4125 Hardeman Ave, Fort Worth, TX 76119 | 2016-11-14 |
1710238134 | Thuy Vy Phan | Physician Assistant | 2500 Circle Dr, Fort Worth, TX 76119 | 2012-09-25 |
1598031841 | Candace Frances Been | Podiatrist | Federal Bureau of Prisons Federal Medical Center Fort, 3150 Horton Road, Fort Worth, TX 76119 | 2012-03-30 |
1053600262 | Miller Dental | Dentist | 3307 Miller Ave Suite A, Fort Worth, TX 76119 | 2011-03-29 |
Find all providers in zip 76119 |
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 |
---|---|---|---|---|
1194326157 | Phillip Alexander Smith | Pharmacist | 5261 Smokey Ridge Dr, Fort Worth, TX 76123-2896 | 2020-11-05 |
1528669843 | Rubilene Spinks | Pharmacist | 6300 Oakmount Blvd, Fort Worth, TX 76132 | 2020-11-03 |
1174124655 | Benjamin N Quaye | Pharmacist | 11436 Sorano Way Apt 17104, Fort Worth, TX 76244-1575 | 2020-11-02 |
1194325795 | Mai Hanh Dang | Pharmacist | 7557 Sienna Ridge Ln, Fort Worth, TX 76131-5119 | 2020-11-01 |
1306446521 | Shellie Woody Lindley | Pharmacist | 500 Throckmorton St Apt 2109, Fort Worth, TX 76102-3808 | 2020-10-27 |
1659988186 | Mckenzie Crockett | Pharmacist | 8600 Camp Bowie W Blvd, Fort Worth, TX 76116-6102 | 2020-09-29 |
1033729942 | Jamie Cheatheam | Pharmacist | 1225 Nighthawk Rd, Fort Worth, TX 76108-6988 | 2020-08-05 |
1598373334 | Henry Ngoc Nguyen | Pharmacist | 3100 S Hulen St, Fort Worth, TX 76109-1925 | 2020-07-17 |
1760007744 | Roy Nwakamma | Pharmacist | 4501 E Lancaster Ave # 105, Fort Worth, TX 76103-3210 | 2020-06-15 |
1265055107 | Priyank Patel | Pharmacist | 5317 Summer Meadows Dr, Fort Worth, TX 76123-1975 | 2020-05-27 |
Find all providers in FORT WORTH |
City | FORT WORTH |
Zip Code | 76119 |
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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.