TAE KIM (NPI# 1396112082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396112082 |
| Entity Type | Individual |
| Full Name | TAE KIM |
| Practice Address |
7100 Arroyo Crossing Pkwy Las Vegas NV 89113-4057 |
| Practice Telephone | 7022606264 |
| Mailing Telephone | 7022606264 |
| Enumeration Date | 2015-08-28 |
| Last Update Date | 2015-08-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 18031 | NV | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568938561 | Tae Kim | Social Worker | Bld S370, Camp Humphreys Behavioral Health Clinic, Apo, AP 96251-0016 | 2018-10-17 |
| 1962906487 | Tae Y Kim | Student in an Organized Health Care Education/Training Program | 4020 Olmsted Ave, Los Angeles, CA 90008-2628 | 2018-03-20 |
| 1831603067 | Tae Kyong Kim | Chiropractor | 3740 Colony Dr Ste 150, San Antonio, TX 78230-2290 | 2017-11-27 |
| 1710400296 | Tae Hee Kim | Acupuncturist | 520 S Virgil Ave Ste 503, Los Angeles, CA 90020-1452 | 2017-07-17 |
| 1427579531 | Tae Kim | Case Manager/Care Coordinator | 5837 192nd St Fl 2, Fresh Meadows, NY 11365-2237 | 2017-06-28 |
| 1164876561 | Tae Sik Kim | Acupuncturist | 3701 50th St W, Rosamond, CA 93560-6725 | 2016-04-21 |
| 1891949368 | Tae Jung Kim | Specialist | 6123 229th St Fl 2, Oakland Gardens, NY 11364-2422 | 2008-11-11 |
| 1568629889 | Tae Kyu Kim | Family Medicine | 275 W Hospitality Ln Ste 200, San Bernardino, CA 92408-3238 | 2008-05-22 |
| 1174734719 | Tae Kim | Acupuncturist | 2040 Pacific Coast Hwy Ste Q, Lomita, CA 90717-2660 | 2007-05-25 |
| 1568512085 | Tae Kun Kim | Chiropractor | 3620 W Pioneer Dr Ste 109, Irving, TX 75061-1515 | 2007-01-10 |
| Street Address |
7100 ARROYO CROSSING PKWY |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89113-4057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922157726 | Allen Chung Hui | Optometrist | 7100 Arroyo Crossing Pkwy, #1, Las Vegas, NV 89113-4057 | 2007-01-09 |
| 1518476704 | Sam's West, Inc. | Eyewear Supplier (Equipment, not the service) | 7100 Arroyo Crossing Pkwy, Las Vegas, NV 89113-4057 | 2017-09-20 |
| 1396170387 | Chow Sin Chuang | Pharmacist | 7100 Arroyo Crossing Pkwy, Las Vegas, NV 89113-4057 | 2013-09-09 |
| 1003092438 | Sam's West, Inc. | Durable Medical Equipment & Medical Supplies | 7100 Arroyo Crossing Pkwy, Las Vegas, NV 89113-4057 | 2008-01-16 |
| 1497976468 | Adelina Vongpanya | Pharmacist | 7100 Arroyo Crossing Pkwy, Las Vegas, NV 89113-4057 | 2007-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457951121 | Trang Thu Tran | Pharmacist | 7200 Arroyo Crossing Parkway, Las Vegas, NV 89113 | 2020-10-30 |
| 1457966293 | Cory Alexander Stattelman | Physical Medicine & Rehabilitation | 5575 N Durango Dr Suite 111, Las Vegas, NV 89113 | 2020-09-09 |
| 1477170801 | Hailey Eileen Wilson | Behavior Technician | 5575 S Durango Dr #102, Las Vegas, NV 89113 | 2020-07-01 |
| 1295385078 | Dominica Zaragoza | Technician | 711 S. Durango Dr, Las Vegas, NV 89113 | 2019-09-13 |
| 1831742758 | Lyass PC A Professional Medical Corp | Clinic/Center | 5950 S. Durgango Dr, Suite 100, Las Vegas, CA 89113 | 2019-07-19 |
| 1932679529 | Kiara Hayden | Rehabilitation Practitioner | 5509 Lonesome Biker Lane, Las Vegas, NV 89113 | 2018-11-27 |
| 1437631876 | James Eugene Hightower | Community Health Worker | 7455 Arroyo Crossing Pkwy Suite 220, Las Vegas, NV 89113 | 2018-09-01 |
| 1356822282 | Warda Ali | Nurse Practitioner | 8738 Pinley Spring St, Las Vegas, NV 89113 | 2018-08-28 |
| 1063992949 | Endure Recovery Services LLC | Counselor | 3087 E. Warm Srpings, Suite 200, Las Vegas, NV 89113 | 2018-08-20 |
| 1134635097 | Mivip Regional Surgery Center | Clinic/Center | 5950 S Durango Dr Ste 101, Las Vegas, NV 89113 | 2017-12-14 |
| Find all providers in zip 89113 | ||||
| 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 |
|---|---|---|---|---|
| 1770184590 | Anthony Esplin | Pharmacist | 8901 Ochoa St, Las Vegas, NV 89143-5450 | 2020-11-06 |
| 1457951121 | Trang Thu Tran | Pharmacist | 7200 Arroyo Crossing Parkway, Las Vegas, NV 89113 | 2020-10-30 |
| 1336753524 | Nazokat Nigmatova | Pharmacist | 8426 Green Cedar Dr, Las Vegas, NV 89123-2620 | 2020-09-04 |
| 1003429200 | Thuy Nguyen | Pharmacist | 4369 Melrose Abbey Pl, Las Vegas, NV 89141-4100 | 2020-08-26 |
| 1407467418 | Noelle D Mallari | Pharmacist | 6401 W Charleston Blvd # 100, Las Vegas, NV 89146-1118 | 2020-08-12 |
| 1851916290 | Willianm David Mosley | Pharmacist | 8602 Lavender Ridge St, Las Vegas, NV 89131-1101 | 2020-06-11 |
| 1386287035 | Serj Soukaz Markarian | Pharmacist | 1801 S Decatur Blvd, Las Vegas, NV 89102-8518 | 2019-10-25 |
| 1043867450 | Calida Barbara Morris | Pharmacist | 11265 Golden Chestnut Pl, Las Vegas, NV 89135-1701 | 2019-08-20 |
| 1215580022 | Pierce Robledo | Pharmacist | 1050 E Flamingo Rd Ste E225, Las Vegas, NV 89119-7427 | 2019-07-20 |
| 1205492733 | Danielle R Plummer | Pharmacist | 9064 Dove River Rd, Las Vegas, NV 89134-1803 | 2019-05-09 |
| Find all providers in LAS VEGAS | ||||
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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.