MICHAEL YOONTAEK IM


Address: 195 W Lancaster Ave, Rite-aid Pharmacy, Ardmore, PA 19003-1401
Phone: 6106497150

MICHAEL YOONTAEK IM (NPI# 1437478229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437478229
Entity Type Individual
Full Name MICHAEL YOONTAEK IM
Practice Address 195 W Lancaster Ave
Rite-aid Pharmacy
Ardmore
PA 19003-1401
Mailing Address 195 W. Lancaster Ave.
Ardmore
Pa
PA 19003
Practice Telephone 6106497150
Mailing Telephone 6106497150
Mailing Fax Number 6106493391
Enumeration Date 2010-05-19
Last Update Date 2010-05-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist RP045021L PA Pharmacy Service Providers

Other Providers MICHAEL IM

NPI Name Taxonomy Address Enumeration
1710154794 Michael Im Radiology 850 E Latham Ave, 101, Hemet, CA 92543-4391 2008-05-09

Office Location

Street Address 195 W LANCASTER AVE
RITE-AID PHARMACY
City ARDMORE
State PA
Zip Code 19003-1401

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477869840 Steven Mersky Pharmacist 195 W Lancaster Ave, Ardmore, PA 19003 2010-08-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396231973 Ann's Professional Home Care, LLC. Home Health 119 Coulter Ave Ste 210, Ardmore, PA 19003 2018-07-06
1154864247 Renee Suzanne Downey Counselor 63 W. Lancaster Ave., Suite 2, Ardmore, PA 19003 2016-11-22
1972908739 Teleradiology Solutions PC Clinic/Center 22 Lianfair Road, Unit 6, Ardmore, PA 19003 2014-10-23
1194120832 Lindsay Coffman Nurse Practitioner 610 West Lancaster Avenue, Ardmore, PA 19003 2014-10-23
1306247143 Samantha Hunsicker Social Worker 9 Cricket Terrace Ctr, Ardmore, PA 19003 2014-09-11
1730514050 Ultimate Hearing Solutions Audiologist-Hearing Aid Fitter 14 Greenfield Avenue, Ardmore, PA 19003 2013-09-05
1861831455 See Inc Optometrist 39 Coulter, Ardmore, PA 19003 2013-06-18
1265740518 Nicole Quigley Finnegan Occupational Therapist 120 Saint Pauls Rd, Ardmore, PA 19003 2010-09-21
1588989719 Paul Maury Prusky Family Medicine 25 East Athens Ave, Ardmore, PA 19003 2010-03-31
1790017333 Dongxiao Liu Acupuncturist 2 W. Lancaster Ave, Ardmore, PA 19003 2010-02-08
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Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790329019 Mark Warren Eck Pharmacist 4020 Rolling Hills Dr, Ardmore, OK 73401-9313 2019-10-30
1982080909 Alison Hill Pharmacist 1111 N. Commerce, Ardmore, OK 73401 2015-07-31
1184058372 Kristin Lynae Brandenberger Pharmacist 2015 10th Ave Nw, Ardmore, OK 73401-2207 2013-08-24
1336356526 Roberts Pharmacy Pharmacist 2377 Haverford Road, Ardmore, PA 19003 2007-05-17
1164578514 Payless Pharmacy Pharmacist 29930 Ardmore Ave, Ardmore, AL 35739-7450 2007-01-26
1316956550 William Edward Holt Jr. Pharmacist 30508 Ardmore Ave, Ardmore, AL 35739-7443 2006-08-05
1144241811 Susan Louise Tigert Pharmacist 35 Tiffany Plz Ste C, Ardmore, OK 73401-2526 2006-07-21
1861425217 Dorothy Gourley Pharmacist 1112 Rockford Rd S, Ardmore, OK 73401-3437 2006-07-09
1841284395 Henry L Roberts Pharmacist 1306 12th Ave Nw, Ardmore, OK 73401-1285 2005-09-09
1952902645 Crystal Michelle Robertson Pharmacist 1715 N Commerce St, Ardmore, OK 73401-1535 2020-11-08
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Competitor

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City ARDMORE
Zip Code 19003

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Dataset Information

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.

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