JI KIM (NPI# 1225501596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225501596 |
| Entity Type | Individual |
| Full Name | JI KIM |
| Practice Address |
Hwy 491 North Shiprock NM 87420 |
| Mailing Address |
401 Nelson Ave Apt 2208 Farmington NM 87401-3363 |
| Practice Telephone | 5053687227 |
| Mailing Telephone | 2677618330 |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2019-01-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 22323 | IA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447639554 | Ji Sun Kim | Pharmacist | 1100 W Glendon Way Apt 20, Alhambra, CA 91803-3194 | 2015-05-21 |
| 1740599869 | Ji Woo Kim | Acupuncturist | 424 S 308th St, Federal Way, WA 98003-4025 | 2010-10-07 |
| 1164677746 | Ji In Kim | Dentist | 150 E Centennial Pkwy Ste 113, N Las Vegas, NV 89084 | 2008-11-24 |
| 1740357755 | Ji S Kim | Dentist | 26750 Grand River Ave, Redford, MI 48240-1529 | 2006-11-29 |
| 1578641023 | Ji Yong Kim | Acupuncturist | 225 Broad Ave, Palisades Park, NJ 07650-1588 | 2006-11-01 |
| 1114533965 | Ji Hyun Kim | Pharmacist | 7600 Schomburg Rd, Columbus, GA 31909 | 2020-09-17 |
| 1457907487 | Ji Kim | Acupuncturist | 196 Main St, Nanuet, NY 10954-3324 | 2019-08-15 |
| 1487216198 | Ji Su Kim | Nurse Anesthetist, Certified Registered | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2019-07-02 |
| 1740740356 | Ji Ho Kim | Behavior Technician | 9355 E Stockton Blvd Ste 100, Elk Grove, CA 95624-9476 | 2019-03-20 |
| 1679063598 | Ji S Kim | Social Worker | 8811 S Tacoma Way Ste 106, Lakewood, WA 98499-4595 | 2018-05-16 |
| Street Address |
HWY 491 NORTH |
| City | SHIPROCK |
| State | NM |
| Zip Code | 87420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609099290 | Jennifer Michelle Manning | Occupational Therapist | Hwy 491 North, Northern Navajo Medical Center, Shiprock, NM 87420 | 2007-04-11 |
| 1598387458 | Kenneth Wilson | Pharmacist | Hwy 491 North, Shiprock, NM 87420 | 2020-05-14 |
| 1689224073 | Margo Ilima Santiago | Physician Assistant | Hwy 491 North, Shiprock, NM 87420 | 2019-09-17 |
| 1811462195 | Danielle Irene Hewey | Physician Assistant | Hwy 491 North, Shiprock, NM 87420 | 2018-10-12 |
| 1538642202 | Sylvia Park | Pharmacist | Hwy 491 North, Shiprock, NM 87420 | 2018-09-10 |
| 1396264099 | Julia Ann Olson | Pharmacist | Hwy 491 North, Shiprock, NM 87420 | 2017-09-13 |
| 1407375587 | Jenna P Cope | Dietitian, Registered | Hwy 491 North, P.o. Box 160, Shiprock, NM 87420 | 2017-09-11 |
| 1013469642 | Erin Raley Wilson | Physician Assistant | Hwy 491 North, Shiprock, NM 87420 | 2016-10-31 |
| 1457807216 | Joseph Farar | Dietitian, Registered | Hwy 491 North, Northern Navajo Medical Center, Shiprock, NM 87420-0160 | 2016-08-31 |
| 1104278894 | Shannon Lee | Optometrist | Hwy 491 North, Northern Navajo Medical Center Eye Clinic, Shiprock, NM 87420 | 2016-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003424383 | Ciara Hansen | Psychologist | Us- 491, Shiprock, NM 87420 | 2020-07-22 |
| 1013540848 | Kelsi Marie Hartwig | Dental Hygienist | Highway 491 North, Yucca Street, Shiprock, NM 87420 | 2020-02-20 |
| 1194364232 | Maria Sturtz | Pharmacist | Us Why 491 North, Shiprock, NM 87420 | 2020-01-06 |
| 1811533979 | Merissa Jo De La Garza | Pharmacist | Highway 491 S, Shiprock, NM 87420 | 2019-11-25 |
| 1619528510 | Heather Scott | Psychologist | Highway 64, Old High School Road, Shiprock, NM 87420 | 2019-09-23 |
| 1396305264 | Malaura Creager | Pharmacist | North Hwy 491, Shiprock, NM 87420 | 2019-06-13 |
| 1275011488 | Dawn Fowler | Registered Nurse | Us Highway 64, Shiprock, NM 87420 | 2018-07-31 |
| 1902384373 | Brittany Jones | Occupational Therapy Assistant | Us 64, Old High School Rd., Shiprock, NM 87420 | 2018-07-30 |
| 1528561701 | Patricia D Suarez | Registered Nurse | Central Consolidated School of New Mexico, Hwy 64, Old High School Road, Shiprock, NM 87420 | 2018-03-14 |
| 1023549284 | Ellen Liversidge | Speech-Language Pathologist | Hwy 64, Old High School Rd., Shiprock, NM 87420 | 2017-03-21 |
| Find all providers in zip 87420 | ||||
| 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 |
|---|---|---|---|---|
| 1245838689 | Jett Nymann Delacruz Paraoan | Pharmacist | Us-491, Shiprock, NM 87420-8742 | 2020-10-16 |
| 1235779372 | Leeanne Mobayed | Pharmacist | Us-491 North, Shiprock, NM 87420-8742 | 2020-01-07 |
| 1194364232 | Maria Sturtz | Pharmacist | Us Why 491 North, Shiprock, NM 87420 | 2020-01-06 |
| 1396305264 | Malaura Creager | Pharmacist | North Hwy 491, Shiprock, NM 87420 | 2019-06-13 |
| 1144611880 | Roseline Boateng | Pharmacist | Hwy 641 North, Shiprock, NM 87420 | 2015-02-17 |
| 1992139497 | Michael Dennis Webster | Pharmacist | Us 491 N, Shiprock, NM 87420 | 2013-09-03 |
| 1295176105 | Lauren Elizabeth Davis | Pharmacist | N. Highway 491, Shiprock, NM 87420-0160 | 2013-07-09 |
| 1013224237 | Joshua Bacon | Pharmacist | Highway 666 North, Medical Center Complex, Shiprock, NM 87420 | 2010-09-09 |
| 1053628453 | Linnea Diane Thompson | Pharmacist | Hwy 491, Northern Navajo Medical Center Attn Pharmacy Department, Shiprock, NM 87420 | 2010-09-07 |
| 1992011779 | Yolanda K Brown | Pharmacist | Route 491 North, Shiprock, NM 87420 | 2010-08-31 |
| Find all providers in SHIPROCK | ||||
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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.