ILSIM KIM (NPI# 1265914931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265914931 |
| Entity Type | Individual |
| Full Name | ILSIM KIM |
| Credential | PHARM.D. |
| Practice Address |
301 E Main St Bay Shore NY 11706-8408 |
| Practice Telephone | 6316754201 |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2018-08-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835C0205X |
Pharmacist Specialization: Critical Care |
1057075 | NY | Pharmacy Service Providers |
| Street Address |
301 E MAIN ST |
| City | BAY SHORE |
| State | NY |
| Zip Code | 11706-8408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467053959 | Ebne Rafi | Pharmacist | 301 E Main St, Bay Shore, NY 11706-8408 | 2020-11-03 |
| 1154928711 | Brittany Lee Mulligan | Anesthesiology | 301 E Main St, Bay Shore, NY 11706-8408 | 2020-10-07 |
| 1093322786 | Aliesha Wahab | Pharmacist | 301 E Main St, Bay Shore, NY 11706-8458 | 2020-09-26 |
| 1316553795 | Erica Anne Schott | Pharmacist | 301 E Main St, Bay Shore, NY 11706-8408 | 2020-09-21 |
| 1780296913 | Chelsea Jensen | Physician Assistant | 301 E Main St, Bay Shore, NY 11706-8408 | 2020-08-19 |
| 1669081865 | John William Mcdonnell Jr. | Physician Assistant | 301 E Main St, Bay Shore, NY 11706-8408 | 2020-07-24 |
| 1205445566 | Michele Lisa Guelfi | Local Education Agency (LEA) | 301 E Main St, Bay Shore, NY 11706-8458 | 2020-07-23 |
| 1740899921 | Colleen Stubbs | Nurse Practitioner | 301 E Main St, Bay Shore, NY 11706-8458 | 2020-07-23 |
| 1063030757 | Rigoberto Ventura | Physician Assistant | 301 E Main St, Bay Shore, NY 11706-8408 | 2020-07-08 |
| 1780200709 | Valerie Brooke Matedero | Physician Assistant | 301 E Main St, Bay Shore, NY 11706-8408 | 2020-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598394173 | Erin Marie Barlow | Student in an Organized Health Care Education/Training Program | Southside Emergency Department 301 East Main Street, Bay Shore, NY 11706 | 2020-04-06 |
| 1003460890 | Bay Shore Brightwaters Rescue Ambulance Inc. | Ambulance | 911 Aletta Place, Bay Shore, NY 11706 | 2019-07-30 |
| 1861980872 | Raffy Gutman | Student in an Organized Health Care Education/Training Program | Southside Hospital Family Medicine, 301 E Main St, Bay Shore, NY 11706 | 2018-04-25 |
| 1609371004 | Sengal Kelit Alazar | Student in an Organized Health Care Education/Training Program | South Side Hospital Emergency Department - Northwell, 301 East Main Street, Bay Shore, NY 11706 | 2018-03-27 |
| 1780198671 | Stefany Gabriela Armijos | Social Worker | 144 Fifth Ave, Bay Shore, NY 11706 | 2017-11-30 |
| 1417476771 | Jazmin Unda Jimenez | Licensed Practical Nurse | 236 Adams Ave, Bay Shore, NY 11706 | 2017-09-18 |
| 1013436989 | People Pushers LLC | Non-emergency Medical Transport (VAN) | 50 Corbin Ave, Suite D, Bay Shore, NY 11706 | 2017-09-12 |
| 1871011585 | Life Acupuncture & Massage Therapy P.C. | Acupuncturist | 387 East Main Street Suite 104, Bayshore, NY 11706 | 2017-09-01 |
| 1558881458 | Wilda Novembre | Licensed Practical Nurse | 1742 North Thompson Drive, Bayshore, NY 11706 | 2017-06-21 |
| 1194184085 | Georgette Prawl | Nurse's Aide | 54 1st Avenue, Bayshore, NY 11706 | 2016-02-19 |
| Find all providers in zip 11706 | ||||
| Taxonomy Code | 1835C0205X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Critical Care |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in the delivery of patient care services by pharmacists, as integral members of interprofessional teams, working to ensure the safe and effective use of medications in critically ill patients. |
| Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [1/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205445004 | Livinus Onukwuire | Pharmacist | 1470 Parkchester Rd Apt 1d, Bronx, NY 10462-7651 | 2020-07-28 |
| 1316449812 | Audrey J Littlefield | Pharmacist | 525 E 68th St Rm F-07, New York, NY 10065-4870 | 2018-03-01 |
| 1497370936 | Ami Shah | Pharmacist | 1111 Amsterdam Ave, New York, NY 10025-1716 | 2020-06-10 |
| 1245854918 | Albana Toci | Pharmacist | 111 E 210th St, Bronx, NY 10467-2401 | 2020-05-29 |
| 1962024646 | Nicholas J Quinn | Pharmacist | 111 E 210th St, Bronx, NY 10467-2401 | 2020-05-15 |
| 1780214411 | Angela Younglim Koo | Pharmacist | 1000 10th Avenue, Department of Pharmacy, Room 2b-36, New York, NY 10019 | 2020-01-22 |
| 1871145748 | Mitulkumar Patel | Pharmacist | 1275 York Ave, New York, NY 10065-6007 | 2019-07-11 |
| 1043875107 | Alan Zhao | Pharmacist | 1 Healthy Way, Oceanside, NY 11572-1551 | 2019-05-04 |
| 1356823777 | William Heuser | Pharmacist | 270-05 76th Ave, New Hyde Park, NY 11040 | 2018-09-01 |
| 1215417050 | Amanda Cantin | Pharmacist | 281 1st Ave, New York, NY 10003-2925 | 2018-08-21 |
| Find all providers with the same taxonomy | ||||
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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.