SANDRA KIM (NPI# 1346520673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346520673 |
Entity Type | Individual |
Full Name | SANDRA KIM |
Credential | PHARM.D. |
Practice Address |
4315 W Mcdowell Rd Phoenix AZ 85035-4201 |
Mailing Address |
9680 W Northern Ave Unit 1235 Peoria AZ 85345-4639 |
Practice Telephone | 6023520078 |
Enumeration Date | 2011-08-18 |
Last Update Date | 2020-02-11 |
NPI Deactivation Date | 04/20/2019 |
NPI Reactivation Date | 2020-02-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | S018659 | AZ | Pharmacy Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780111450 | Sandra S Kim | Social Worker | 23 Kingsberry Way, Easthampton, MA 01027-2576 | 2017-05-12 |
1720265283 | Sandra Kim | Internal Medicine | 31 Massachusetts Ave, #41, Boston, MA 02115-1406 | 2008-01-28 |
1164914958 | Sandra Myounga Kim | Behavioral Analyst | 110 Cedar St Ste 10, Wellesley, MA 02481-3527 | 2018-06-06 |
1306355698 | Sandra Yu Kim | Registered Nurse | 711 Del Amo Blvd, Torrance, CA 90502-1362 | 2017-09-29 |
1497814008 | Sandra Denise Kim | Obstetrics & Gynecology | 25825 Vermont Ave, Harbor City, CA 90710-3518 | 2006-12-08 |
1912078528 | Sandra Lee Kim | Pharmacist | 833 S Wood St, Room 164, Chicago, IL 60612-7229 | 2006-11-13 |
1942380043 | Sandra C Kim | Pediatrics | 4401 Penn Ave, Children's Hospital of Pittsburgh of Upmc, Division Of, Pittsburgh, PA 15224-1334 | 2006-10-16 |
1114906575 | Sandra Kim | Dentist | 4379 Ridgewood Center Dr Ste 102, Woodbridge, VA 22192-8323 | 2006-01-13 |
Street Address |
4315 W MCDOWELL RD |
City | PHOENIX |
State | AZ |
Zip Code | 85035-4201 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588679823 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 4315 W Mcdowell Rd, Phoenix, AZ 85035-4201 | 2006-07-29 |
1023493590 | Max Berestovetsky | Pharmacist | 4315 W Mcdowell Rd, Phoenix, AZ 85035-4201 | 2015-07-27 |
1790031888 | Olga P Kurdelchuk | Pharmacist | 4315 W Mcdowell Rd, Phoenix, AZ 85035-4201 | 2012-07-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912420621 | Safe Run Non Emergency Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 7205 W Mcdowell Rd, Apt 1073, Phoenix, AZ 85035 | 2017-07-25 |
1710435581 | Aimee Uwimana | Nurse Practitioner | 5030 W. Mcdowell Rd. Ste. 16, Phoenix, AZ 85035 | 2016-09-21 |
1528427317 | Akdhc, LLC | Internal Medicine | 4901 W Mcdowell Rd, Phoenix, AZ 85035 | 2016-02-22 |
1285921544 | Tasnim Khalife | Family Medicine | 2303 N. 75th Ave., Phoenix, AZ 85035 | 2011-07-06 |
1528210192 | Scott Alan Ulrick | Chiropractor | 5120 W. Mcdowell Rd, Phoenix, AZ 85035 | 2008-10-15 |
1467627331 | Robert Anthony Bembenek | Chiropractor | 5030 W Mcdowell Suite 10, Phx, AZ 85035 | 2008-04-23 |
1164569935 | Roy Song | Dentist | 1820 N 75th Ave, Suite 112, Phoenix, AZ 85035 | 2007-01-31 |
1659418994 | Western Dental of Arizona, Inc. | Dentist | 1820 N. 75th Ave., Suite #112, Phoenix, AZ 85035 | 2007-01-30 |
1982774824 | Nationwide Vision Center, LLC | Technician/Technologist | 1820 North 75th Avenue, Suite 102, Phoenix, AZ 85035 | 2006-11-08 |
1396748976 | Kris Morshedian | Internal Medicine | 4901 W Mcdowell Rd., Phoenix, AZ 85035 | 2005-05-27 |
Find all providers in zip 85035 |
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.