DR. GENE KIM (NPI# 1316057243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316057243 |
| Entity Type | Individual |
| Full Name | DR. GENE KIM |
| Credential | PHARMD |
| Practice Address |
100 E Main St San Jacinto CA 92583-4228 |
| Practice Telephone | 9516549393 |
| Practice Fax Number | 9516549394 |
| Mailing Telephone | 9516549393 |
| Mailing Fax Number | 9516549394 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 54767 | CA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PHA463750 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700431343 | Gene Kim | Behavior Technician | 780 Mcardle Dr Ste A, Crystal Lake, IL 60014-8155 | 2019-08-08 |
| 1134651706 | Gene Kim | Student in an Organized Health Care Education/Training Program | 155 N Fresno St, Fresno, CA 93701-2302 | 2017-04-01 |
| 1891172169 | Gene Young Kim | Radiology | 820 Harrison Ave Bldg 3, Boston, MA 02118-2905 | 2015-05-06 |
| 1033474820 | Gene Kim | Ophthalmology | 3400 Bainbridge Ave, Bronx, NY 10467-2404 | 2012-07-09 |
| 1639332372 | Gene Kim | Ophthalmology | 6400 Fannin St, Suite 1800, Houston, TX 77030-1521 | 2008-07-02 |
| 1598923005 | Gene Kim | Internal Medicine | 5841 S Maryland Ave, Chicago, IL 60637-1447 | 2008-05-30 |
| 1699976159 | Gene Yongjin Kim | Internal Medicine | 1 Shrader St Ste 550, San Francisco, CA 94117-1034 | 2007-05-30 |
| 1710106935 | Gene Woo Kim | Dentist | 1907 N Placentia Ave, Placentia, CA 92870-2201 | 2007-04-25 |
| 1689783409 | Gene Kim | Internal Medicine | 1938 Peachtree Road Nw, Kaiser Permanente Hospital Services, Atlanta, GA 30309 | 2006-08-29 |
| 1194732925 | Gene C Kim | Internal Medicine | 2841 Lomita Blvd, Ste. 100, Torrance, CA 90505-5105 | 2006-08-02 |
| Street Address |
100 E MAIN ST |
| City | SAN JACINTO |
| State | CA |
| Zip Code | 92583-4228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043322092 | Gene Kim | Pharmacy | 100 E Main St, San Jacinto, CA 92583-4228 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306459615 | Walgreen Co | Pharmacy | 23335 Soboba Rd, San Jacinto, CA 92583 | 2020-08-26 |
| 1295399632 | Suhaila Mahjabeen Arif | Student in an Organized Health Care Education/Training Program | 651 North State Street, San Jacinto, CA 92583 | 2019-04-30 |
| 1083146328 | United Family Pharmacy, LLC | Pharmacy | 1221 S. San Jacinto Ave, San Jacinto, CA 92583 | 2017-03-28 |
| 1699127118 | Matthew Siragusa | Dental Assistant | 792 Salinger Pl, San Jacinto, CA 92583 | 2016-07-08 |
| 1326431966 | Empire Mobility | Durable Medical Equipment & Medical Supplies | 1499 Old Mountain Ave, Spc127, San Jacinto, CA 92583 | 2015-03-06 |
| 1598102485 | Ribhi A Hamad | Pharmacist | 1181 N Sate St, San Jacinto, CA 92583 | 2013-05-31 |
| 1770831489 | Neelam Gupta M.d. Inc. | Clinic/Center | 343 E Main Street, 106, San Jacinto, CA 92583 | 2012-08-28 |
| 1407154040 | Elizabeth Santillana Contla | Registered Nurse | 1370 S. State Street, Ste B, San Jacinto, CA 92583 | 2011-03-07 |
| 1902125636 | Tonnette Na Ellis | Counselor | 1854 Hemet St, San Jacinto, CA 92583 | 2010-05-20 |
| 1851525315 | Lydia Meria Reece | Physician Assistant | 229 West 7th Street, San Jacinto, CA 92583 | 2009-05-12 |
| Find all providers in zip 92583 | ||||
| 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 |
|---|---|---|---|---|
| 1598102485 | Ribhi A Hamad | Pharmacist | 1181 N Sate St, San Jacinto, CA 92583 | 2013-05-31 |
| 1477823763 | Sean Yu | Pharmacist | 2261 W. Esplanade Ave, San Jacinto, CA 92582 | 2012-01-04 |
| 1285912709 | Ly Pham Dang | Pharmacist | 1271 N State St, San Jacinto, CA 92583-6315 | 2011-08-01 |
| 1780991539 | Yea-shin Yeh | Pharmacist | 1605 S San Jacinto Ave, San Jacinto, CA 92583-5181 | 2010-08-31 |
| 1942520580 | Peter Dinh Nguyen | Pharmacist | 1180 N State St, San Jacinto, CA 92583-6318 | 2010-06-06 |
| 1770105488 | Bao-nguyen Truong | Pharmacist | 1811 S San Jacinto Ave, San Jacinto, CA 92583-5605 | 2020-05-15 |
| 1528607637 | Thuy Nguyen | Pharmacist | 102 S Sanderson Ave, San Jacinto, CA 92582-3798 | 2020-01-06 |
| 1861037525 | Lisa Sungsook Lee | Pharmacist | 102 S Sanderson Ave, San Jacinto, CA 92582-3798 | 2019-11-16 |
| 1306304415 | David Downham | Pharmacist | 1180 N State St, San Jacinto, CA 92583-6318 | 2019-03-07 |
| 1598246944 | Nadia Nguyen | Pharmacist | 1811 S San Jacinto Ave, San Jacinto, CA 92583-5605 | 2018-08-23 |
| Find all providers in SAN JACINTO | ||||
| City | SAN JACINTO |
| Zip Code | 92583 |
Please comment or provide details below to improve the information on DR. GENE KIM.
| 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.