EWHA BRIDGET KIM (NPI# 1316498298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316498298 |
Entity Type | Individual |
Full Name | EWHA BRIDGET KIM |
Credential | PHARMD |
Practice Address |
55 Fruit St Yawkey Bldg 8th Floor, Massachusetts General Hospital Boston MA 02114-2621 |
Practice Telephone | 6177269244 |
Mailing Telephone | 6177269244 |
Enumeration Date | 2016-10-17 |
Last Update Date | 2016-10-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1835X0200X |
Pharmacist Specialization: Oncology |
19761 | NC | Pharmacy Service Providers |
Y | 1835X0200X |
Pharmacist Specialization: Oncology |
27776 | MA | Pharmacy Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | BOARD OF PHARMACY | 19761 | 01 |
MA | BOARD OF PHARMACY | 27776 | 01 |
Street Address |
55 FRUIT ST YAWKEY BLDG 8TH FLOOR, MASSACHUSETTS GENERAL HOSPITAL |
City | BOSTON |
State | MA |
Zip Code | 02114-2621 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568465888 | Michael A Nichols | Nurse Anesthetist, Certified Registered | 55 Fruit St, Boston, MA 02114-2696 | 2005-05-31 |
1740881374 | Katelyn Mary Bushey | Clinical Nurse Specialist | 55 Fruit St, Boston, MA 02114-2696 | 2020-11-02 |
1316546849 | Amy Lauren Greenblatt | Student in an Organized Health Care Education/Training Program | 55 Fruit St, Boston, MA 02114-2696 | 2020-10-26 |
1134728116 | Stephanie Qualls | Student in an Organized Health Care Education/Training Program | 55 Fruit St, Boston, MA 02114-2621 | 2020-10-21 |
1811596190 | Andrea S Hansen | Clinical Nurse Specialist | 55 Fruit St, Boston, MA 02114-2696 | 2020-10-19 |
1649879974 | Barbara Healy | Nurse Practitioner | 55 Fruit St, Boston, MA 02114-2696 | 2020-10-19 |
1770181117 | Molly Cristina Reynolds | Nurse Practitioner | 55 Fruit St, Boston, MA 02114-2621 | 2020-10-16 |
1245838325 | Katerina Eleni Kafkas | Nurse Practitioner | 55 Fruit St, Boston, MA 02114-2621 | 2020-10-12 |
1578179040 | Vivian Ellen Donahue | Registered Nurse | 55 Fruit St, Boston, MA 02114-2696 | 2020-09-21 |
1699380956 | Joanne Gover | Registered Nurse | 55 Fruit St, Boston, MA 02114-2621 | 2020-09-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588276281 | Guoliang Qiao | Student in an Organized Health Care Education/Training Program | Massachusetts General Hospital, 55 Fruit Street., Boston, MA 02114 | 2020-08-24 |
1881223741 | Alexander Wesley Zirulnik | Student in an Organized Health Care Education/Training Program | 55 Fruit St. Boston, Boston, MA 02114 | 2020-04-03 |
1376170548 | Mia Yu Bothwell | Student in an Organized Health Care Education/Training Program | Gray Bigelow 730, 55 Fruit Street, Boston, MA 02114 | 2020-03-26 |
1225661036 | David Dongkyung Kim | Student in an Organized Health Care Education/Training Program | 6 Whittier Place, Apartment 15b, Boston, MA 02114 | 2020-02-20 |
1124651658 | Madeleine Sertic | Student in an Organized Health Care Education/Training Program | Division of Abdominal Imaging, Department of Radiology, 55 Fruit Street, White 270, Boston, MA 02114 | 2020-02-12 |
1285274498 | Jiuk James Jung | Student in an Organized Health Care Education/Training Program | 15 Parkman Ave, Wang 4-460, Boston, MA 02114 | 2020-01-15 |
1831740448 | Jennifer Hughes | Physician Assistant | 55 Fruit Street, Founders 110, Boston, MA 02114 | 2019-09-25 |
1558827220 | Aluma Chovel Sella | Student in an Organized Health Care Education/Training Program | Massgeneral Hospital for Children Main Campus, 55 Fruit Street, Boston, MA 02114 | 2019-02-18 |
1083187140 | Henry Oliveras | Massage Therapist | 102 Charles Street, Boston, MA 02114 | 2019-01-10 |
1720550031 | Nicole M Price | Social Worker | 29 Staniford St, Boston, MA 02114 | 2018-12-27 |
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Taxonomy Code | 1835X0200X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Oncology |
A licensed pharmacist who has demonstrated specialized knowledge and skill in developing, recommending, implementing, monitoring, and modifying pharmacotherapeutic plans to optimize outcomes in patients with malignant diseases. |
Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326663964 | Tsz-yi Wendy Chen | Pharmacist | 450 Brookline Ave, Boston, MA 02215-5418 | 2020-06-09 |
1932735818 | Houry Leblebjian | Pharmacist | 450 Brookline Ave, Boston, MA 02215-5418 | 2020-03-23 |
1487122719 | Bridget C Scullion | Pharmacist | 450 Brookline Ave Dept Of, Boston, MA 02215-5450 | 2018-11-05 |
1619428521 | Leila Rostamnjad | Pharmacist | 50 Fruit St, Boston, MA 02114-2620 | 2016-10-17 |
1215487798 | Mark Leonard Zangardi | Pharmacist | 55 Fruit St, Grb005, Boston, MA 02114-2621 | 2016-10-10 |
1447648779 | James Bennett | Pharmacist | 300 Longwood Ave, Boston, MA 02115-5724 | 2015-01-09 |
1619181195 | Radhika Sane | Pharmacist | 88 E Newton St, Boston, MA 02118-2308 | 2007-05-10 |
1225250152 | Kristina Mangan | Pharmacist | 88 East Newton St, Boston, MA 02215 | 2007-05-02 |
1558445189 | Robert J. Cersosimo | Pharmacist | 360 Huntington Ave, 206 Mugar, Boston, MA 02115-5005 | 2006-10-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346800182 | Sherif Ibrahim | Pharmacist | 150 Bear Hill Road, Onco360 Oncology Pharmacy, Waltham, MA 02451-0245 | 2019-06-14 |
1912429382 | Rose Cheng | Pharmacist | 10 Summer Street Apt 304, Malden, MA 02148 | 2017-07-07 |
1568681591 | Edward J Bisaga | Pharmacist | 68 Landseer St, West Roxbury, MA 02132-3437 | 2007-04-25 |
1881206092 | Robert Stabile | Pharmacist | 102 Endicott St, Danvers, MA 01923-3623 | 2020-08-19 |
1205453966 | Amanda Manoogian | Pharmacist | 31 North Ave, Burlington, MA 01803-3305 | 2020-06-29 |
1972003366 | Nathan Haywood Hartwell | Pharmacist | Lahey Hospital and Medical Center, 41 Burlington Mall Rd, Burlington, MA 01805-0180 | 2018-02-13 |
1194263418 | Yi Gao-roberts | Pharmacist | 20 Meadow Ln, Boxborough, MA 01719 | 2017-02-07 |
1144584301 | Carmela H Berlin | Pharmacist | 102 Endicott St, Danvers, MA 01923-3623 | 2012-07-02 |
1740589514 | Jayde Bednarik | Pharmacist | 55 Lake Ave N, Pharmacy Department, Worcester, MA 01655-0002 | 2011-03-20 |
1164752044 | Kevin J Mckeon | Pharmacist | 41 Montvale Ave, Hallmark Health Cancer Center Pharmacy, Stoneham, MA 02180-2445 | 2009-12-28 |
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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.