DAVID JAY HOON KIM (NPI# 1306115134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306115134 |
| Entity Type | Individual |
| Full Name | DAVID JAY HOON KIM |
| Credential | PHARM.D. |
| Practice Address |
1515 N Litchfield Rd Goodyear AZ 85395-1237 |
| Mailing Address |
9680 W Northern Ave Unit 1235 Peoria AZ 85345-4639 |
| Practice Telephone | 6239353233 |
| Mailing Telephone | 7202527773 |
| Enumeration Date | 2011-12-22 |
| Last Update Date | 2011-12-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | S018746 | AZ | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225661036 | David Dongkyung Kim | Student in an Organized Health Care Education/Training Program | 6 Whittier Place, Apartment 15b, Boston, MA 02114 | 2020-02-20 |
| 1578106852 | David H Kim | Dentist | 2058 Kings Cross Ln, Cordova, TN 38016-5176 | 2019-10-19 |
| 1194378877 | David S Kim | Dentist | 121 Tatham Rd, Bensalem, PA 19020-1641 | 2019-07-22 |
| 1790341691 | David Kim | Physician Assistant | 993f Johnson Ferry Rd Ste 210, Atlanta, GA 30342-1602 | 2019-05-15 |
| 1316407539 | David Kim | Behavior Technician | 6056 Delaware Park Ct, Eastvale, CA 92880-0984 | 2019-03-22 |
| 1104398593 | David Solomon Kim | Acupuncturist | 3520 147th St Ph 1f, Flushing, NY 11354-3773 | 2018-12-22 |
| 1942738935 | David Kim | Social Worker | 45 Douglass St # 3, Brooklyn, NY 11231-4716 | 2017-06-02 |
| 1841673936 | David Hoyeon Kim | Dentist | 1234 Devonshire Ln, La Habra, CA 90631-7421 | 2015-07-07 |
| 1235517996 | David Kim | Surgery | 3401 N Broad St # 3ppc388, Philadelphia, PA 19140 | 2015-05-14 |
| 1114318383 | David Tae Hun Kim | Dentist | 736 Tangelo Way, Fullerton, CA 92832-2630 | 2015-02-10 |
| Street Address |
1515 N LITCHFIELD RD |
| City | GOODYEAR |
| State | AZ |
| Zip Code | 85395-1237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811919699 | German Dobson Cvs LLC | Durable Medical Equipment & Medical Supplies | 1515 N Litchfield Rd, Goodyear, AZ 85395-1237 | 2006-07-24 |
| 1649882788 | Tony Coombe | Pharmacist | 1515 N Litchfield Rd, Goodyear, AZ 85395-1237 | 2020-08-19 |
| 1972150845 | Yasmeen Kronz | Pharmacist | 1515 N Litchfield Rd, Goodyear, AZ 85395-1237 | 2019-08-24 |
| 1881140317 | Amy Johnson | Pharmacist | 1515 N Litchfield Rd, Goodyear, AZ 85395-1237 | 2016-08-25 |
| 1174909709 | Marc Bingaman | Pharmacist | 1515 N Litchfield Rd, Goodyear, AZ 85395-1237 | 2015-08-05 |
| 1871984203 | Yvette Lovato-nsonwu | Pharmacist | 1515 N Litchfield Rd, Goodyear, AZ 85395-1237 | 2015-02-06 |
| 1972993764 | Jennifer Sherrill | Pharmacist | 1515 N Litchfield Rd, Goodyear, AZ 85395-1237 | 2015-01-31 |
| 1659668705 | Casey D Rhea | Pharmacist | 1515 N Litchfield Rd, T-1242, Goodyear, AZ 85395-1237 | 2011-07-08 |
| 1598931669 | Durga Yerramilli | Optometrist | 1515 N Litchfield Rd, Goodyear, AZ 85395 | 2008-05-07 |
| 1497805170 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 1515 N Litchfield Rd, Goodyear, AZ 85395-1237 | 2007-01-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154962439 | Amber Dawn Gutierrez | Registered Nurse | 15430 W. Turney Avenue, Goodyear, AZ 85395 | 2019-10-08 |
| 1851947865 | Az Care Partners Home Care, LLC | Chore Provider | 14122 W. Mcdowell Rd., Suite 102a, Goodyear, AZ 85395 | 2019-08-15 |
| 1407334329 | Hana M Eichele | Occupational Therapist | 13385 W Mcdowell Road, Goodyear, AZ 85395 | 2018-08-02 |
| 1639662406 | Kristen Henderson | Occupational Therapist | 14577 W Indian School Road, Goodyear, AZ 85395 | 2018-06-07 |
| 1114419389 | Eric Seabaugh | Specialist/Technologist | 13385 W. Mcdowell Rd., Goodyear, AZ 85395 | 2018-06-04 |
| 1912497504 | Goodyear Modern Dentistry, LLP | Dentist | 15260 West Mcdowell Rd, Goodyear, AZ 85395 | 2018-05-18 |
| 1225531551 | Erik Jason Martinez | Registered Nurse | 4565 N 153rd Ln, Goodyear, AZ 85395 | 2018-03-13 |
| 1538677042 | Kacie Bartlett | Speech-Language Pathologist | 14557 W Mcdowel Rd, Suiet 500, Goodyear, AZ 85395 | 2018-01-18 |
| 1942717277 | Deeann Guymon | Specialist/Technologist | 13385 W. Mcdowell Road, Goodyear, AZ 85395 | 2018-01-09 |
| 1023520228 | Kathy Lynn Gorchesky | Registered Nurse | 15430 West Turney Avenue, Goodyear, AZ 85395 | 2017-10-27 |
| Find all providers in zip 85395 | ||||
| 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 |
|---|---|---|---|---|
| 1083103154 | Cody Lee Hattenberger | Pharmacist | 15835 W Supai Dr, Goodyear, AZ 85338-3301 | 2018-05-04 |
| 1124561642 | Cynthia Vlosic | Pharmacist | 15428 W Verde Ln, Goodyear, AZ 85395-8630 | 2016-12-01 |
| 1588056972 | Amber Gleason | Pharmacist | 16380 W. Yuma Rd, Goodyear, AZ 85326 | 2015-02-23 |
| 1396158994 | Richard Glisson | Pharmacist | 2840 North Dysart Road, Goodyear, AZ 85335 | 2014-06-11 |
| 1598176299 | William Patrick Brophy | Pharmacist | 13352 W Alvarado Dr, Goodyear, AZ 85395-3126 | 2014-05-15 |
| 1427476282 | Timothy Schubel | Pharmacist | 4240 N 161st Ave, Goodyear, AZ 85395-6437 | 2014-03-30 |
| 1932409208 | Chung Counihan | Pharmacist | 9890 S Estrella Parkway, Goodyear, AZ 85338 | 2010-11-02 |
| 1053611327 | Traven Anderson | Pharmacist | 9890 South Estrella Parkway, Goodyear, AZ 85338 | 2010-11-02 |
| 1831499821 | Gary John Greco | Pharmacist | 16002 W Papago St, Goodyear, AZ 85338-7905 | 2010-10-25 |
| 1487963773 | Kevin Hoang Pham | Pharmacist | 14047 W Windsor Ave, Goodyear, AZ 85395-2485 | 2010-10-04 |
| Find all providers in GOODYEAR | ||||
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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.