CRYSTAL JIHYUN RIM (NPI# 1386255156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386255156 |
| Entity Type | Individual |
| Full Name | CRYSTAL JIHYUN RIM |
| Credential | PHARMD |
| Practice Address |
24988 Se Stark St Ste 220 Gresham OR 97030-8324 |
| Mailing Address |
2270 Nw Savier St Apt 417 Portland OR 97210-3909 |
| Practice Telephone | 5036743064 |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2020-08-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH-0017422 | OR | Pharmacy Service Providers |
| Street Address |
24988 SE STARK ST STE 220 |
| City | GRESHAM |
| State | OR |
| Zip Code | 97030-8324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841643681 | Laura Pahlmeyer | Pharmacist | 24988 Se Stark St Ste 220, Gresham, OR 97030-8324 | 2016-07-17 |
| 1255802849 | Sandra S Hwang | Physician Assistant | 24988 Se Stark St Ste 220, Gresham, OR 97030-8324 | 2018-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174032312 | Tiffany Chen | Occupational Therapist | 304 Ne Hood Ave., Gresham, OR 97030 | 2017-09-20 |
| 1225568454 | Goldstar Vascular Access, Inc | Home Infusion | 2870 Ne Hogan Dr, Ste E #205, Gresham, OR 97030 | 2017-06-20 |
| 1861940454 | Jessica Morrow | Massage Therapist | 1748 Nw Fairview Dr., Gresham, OR 97030 | 2016-09-13 |
| 1033665898 | Bonita Baxter | Counselor | 400 Ne 7th Street, Gresham, OR 97030 | 2016-08-31 |
| 1710335484 | Ethan William Hoccom | Counselor | 1527 Ne Lamesa Place 17th St, Gresham, OR 97030 | 2016-06-02 |
| 1992159610 | Kathleen Kline, Lmt | Massage Therapist | 1217 Ne Burnside Road Suite 701-d, Gresham, OR 97030 | 2016-04-19 |
| 1215390109 | The Wallace Medical Concern | Nurse Practitioner | 254 Nw Burnside Road, Gresham, OR 97030 | 2016-03-30 |
| 1932568912 | Atchison Dialysis, LLC | Clinic/Center | 878 Nw Burnside Rd, Gresham, OR 97030 | 2016-02-18 |
| 1912374034 | Hilary Dawn Montgomery | Counselor | 1326 Nw Civic Dr # 5569, Gresham, OR 97030 | 2015-08-24 |
| 1992171730 | Melissa E Childs | Massage Therapist | 1217 Nw Burnside Rd Ste 701, Gresham, OR 97030 | 2015-08-17 |
| Find all providers in zip 97030 | ||||
| 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 |
|---|---|---|---|---|
| 1841643681 | Laura Pahlmeyer | Pharmacist | 24988 Se Stark St Ste 220, Gresham, OR 97030-8324 | 2016-07-17 |
| 1992061048 | Russell A Wendt | Pharmacist | 2497 Ne Roberts Ave, Gresham, OR 97080 | 2012-04-03 |
| 1801160684 | William Robert Dupuis | Pharmacist | 2800 Ne Hogan Dr, Gresham, OR 97030-3100 | 2012-02-27 |
| 1326352030 | Jeffery Bradford Yates | Pharmacist | 1555 Ne Division St, Gresham, OR 97030-4271 | 2010-08-05 |
| 1497084453 | Katherine Cheng | Pharmacist | 439 Se 223rd Ave, Gresham, OR 97030 | 2009-12-21 |
| 1356595821 | Jeffrey Robert Nikolaisen | Pharmacist | 439 Southeast 223rd Avenue, Gresham, OR 97030 | 2008-11-11 |
| 1932223880 | Julie Elizabeth Croshaw | Pharmacist | 2444 E Powell Blvd, Gresham, OR 97080 | 2007-03-18 |
| 1093227548 | Tatyana Shiyenkova | Pharmacist | 1555 Ne Division St, Gresham, OR 97030-4271 | 2017-10-24 |
| 1174068126 | Justin Ngo | Pharmacist | 4285 W Powell Blvd, Gresham, OR 97030-5050 | 2016-12-29 |
| 1467995886 | Traci Mo | Pharmacist | 24800 Se Stark St, Gresham, OR 97030-3378 | 2016-12-02 |
| Find all providers in GRESHAM | ||||
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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.