DR. HYUN JUNG KIM (NPI# 1265941116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265941116 |
| Entity Type | Individual |
| Full Name | DR. HYUN JUNG KIM |
| Other Name | DR. EVELYN KIM |
| Credential | PHARMD |
| Practice Address |
24416 N 19th Ave Phoenix AZ 85085-1887 |
| Practice Telephone | (877) 546-5779 |
| Practice Fax Number | 8775465780 |
| Mailing Telephone | 8775465779 |
| Mailing Fax Number | 8775465780 |
| Enumeration Date | 2017-09-22 |
| Last Update Date | 2017-09-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | S022752 | AZ | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235488685 | Hyun Jung Kim | Dentist | 26630 Barton Rd Apt 2926, Redlands, CA 92373-4332 | 2012-08-30 |
| 1205190410 | Hyun Jung Kim | Acupuncturist | 10440 Paramount Blvd, D236, Downey, CA 90241-2356 | 2012-07-02 |
| 1669707121 | Hyun Jung Kim | Physical Therapist | 3223 Leavitt St, 2fl, Flushing, NY 11354-3407 | 2009-10-16 |
| 1275922957 | Hyun Jung Kim | Pharmacist | 715 Airport Dr, Bakersfield, CA 93308-4129 | 2015-01-17 |
| 1922241876 | Hyun Jung Kim | Psychiatry & Neurology | 115 Mill St, Belmont, MA 02478-1064 | 2009-04-08 |
| Street Address |
24416 N 19TH AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85085-1887 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962726059 | Avella of Deer Valley, Inc | Durable Medical Equipment & Medical Supplies | 24416 N 19th Ave, Phoenix, AZ 85085-1887 | 2010-03-18 |
| 1003428434 | Robert Paul Mcmahon | Pharmacist | 24416 N 19th Ave, Phoenix, AZ 85085-1887 | 2020-08-18 |
| 1386256766 | Ricky Yin | Pharmacist | 24416 N 19th Ave, Phoenix, AZ 85085-1887 | 2020-08-18 |
| 1063024479 | Dylan Wei | Pharmacist | 24416 N 19th Ave, Phoenix, AZ 85085-1887 | 2020-08-18 |
| 1558914945 | Yousef Toma | Pharmacist | 24416 N 19th Ave, Phoenix, AZ 85085-1887 | 2019-07-24 |
| 1992358386 | Michelle Abou-eid | Pharmacist | 24416 N 19th Ave, Phoenix, AZ 85085-1887 | 2019-07-24 |
| 1356801419 | Carolyn Parton | Pharmacist | 24416 N 19th Ave, Phoenix, AZ 85085-1887 | 2019-03-23 |
| 1598225914 | Janelle Rose Vircks | Pharmacist | 24416 N 19th Ave, Phoenix, AZ 85085-1887 | 2019-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235748369 | Nicole Fountain | Speech-Language Pathologist | 25700 N. 21st Avenue, Phoenix, AZ 85085 | 2020-07-24 |
| 1083138010 | Larry Leforte II | Emergency Medical Technician, Paramedic | 2018 W Blaylock Dr, Phoenix, AZ 85085 | 2017-08-01 |
| 1508318809 | Jennifer Falk | Chiropractor | 1614 W Whispering Wind Dr Ste 3, Phoenix, AZ 85085 | 2016-11-03 |
| 1053785964 | Cvs Pharmacy | Pharmacy | 28635 N North Vally Parkway, Phoenix, AZ 85085 | 2015-11-17 |
| 1417329897 | Kelly Criswell | Registered Nurse | 32150 N North Foothills Dr, Phoenix, AZ 85085 | 2015-10-26 |
| 1417333717 | Kristi Everett | Social Worker | 34225 N 27th Dr Bldg 5 Ste 146, Phoenix, AZ 85085 | 2015-08-10 |
| 1063849834 | Albertsons Pharmacy | Pharmacist | 2406 W Bramble Berry Ln, Phoenix, AZ 85085 | 2013-10-10 |
| 1427354851 | Carolyn Berg Newsome | Marriage & Family Therapist | 2060 W.whispering Wind Drive, Phoenix, AZ 85085 | 2011-02-02 |
| 1518273127 | Jamie Lynn Born | Social Worker | 34406 N 27th Dr Bldg 6, Phoenix, AZ 85085 | 2010-08-20 |
| 1023347218 | Lise Flores-reed | Psychologist | 34225 N. 27th Drive #110, Phoenix, AZ 85085 | 2009-12-17 |
| Find all providers in zip 85085 | ||||
| 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 |
|---|---|---|---|---|
| 1386243848 | Stephen Praissman | Pharmacist | 3101 E Claremont Ave, Phoenix, AZ 85016-2361 | 2020-10-25 |
| 1356949929 | Teresa Louise Cox | Pharmacist | 1800 E Van Buren St., St. Luke's Behavioral Health, Phoenix, AZ 85006 | 2020-10-15 |
| 1760097703 | Cindy Ryanto | Pharmacist | 39508 W Daisy Mountain Dr, Phoenix, AZ 85086 | 2020-09-15 |
| 1689288037 | Akeel Daher | Pharmacist | 28635 N N Vly Pkwy, Phoenix, AZ 85085-5434 | 2020-09-03 |
| 1295346401 | Ann Michelle Mason | Pharmacist | 1511 E Renee Dr, Phoenix, AZ 85024-2973 | 2020-08-11 |
| 1053921767 | Vera Benson | Pharmacist | 1219 E Villa Maria Dr, Phoenix, AZ 85022-1222 | 2020-08-06 |
| 1154947133 | Justin Gerard Spicer | Pharmacist | 1 E Lexington Ave, Phoenix, AZ 85012-2433 | 2020-06-24 |
| 1518582501 | Davita D Lewis | Pharmacist | 2532 W Peoria Ave, Phoenix, AZ 85029-4709 | 2020-06-15 |
| 1518582683 | Thomas Komlos | Pharmacist | 18224 N Clemmer Ln, Phoenix, AZ 85022-1306 | 2020-06-14 |
| 1063037554 | Chezka Mae Largosa Baker | Pharmacist | 800 N Central Ave Apt 1218, Phoenix, AZ 85004-2777 | 2020-06-10 |
| Find all providers in PHOENIX | ||||
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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.