JENNA KIM (NPI# 1548713043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548713043 |
| Entity Type | Individual |
| Full Name | JENNA KIM |
| Practice Address |
25421 Eastern Marketplace Plz Chantilly VA 20152-5780 |
| Practice Telephone | 7033277817 |
| Mailing Telephone | 7033277817 |
| Enumeration Date | 2016-08-01 |
| Last Update Date | 2016-08-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 0202215189 | VA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073642245 | Jenna Soojung Kim | Pharmacist | 3875 Alton Pkwy, Irvine, CA 92606-8203 | 2007-03-05 |
| 1184037129 | Jenna May Kim | Ophthalmology | 110 S Pantops Dr, Charlottesville, VA 22911-8672 | 2014-06-07 |
| Street Address |
25421 EASTERN MARKETPLACE PLZ |
| City | CHANTILLY |
| State | VA |
| Zip Code | 20152-5780 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457679151 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 25421 Eastern Marketplace Plz, Chantilly, VA 20152-5780 | 2010-05-06 |
| 1578967980 | Charvee Patel | Pharmacist | 25421 Eastern Marketplace Plz, Chantilly, VA 20152-5780 | 2014-10-14 |
| 1326449190 | Nicole Danielle Robertson | Pharmacist | 25421 Eastern Marketplace Plz, Chantilly, VA 20152-5780 | 2014-09-11 |
| 1750666517 | Radhika Gutta | Pharmacist | 25421 Eastern Marketplace Plz, Chantilly, VA 20152-5780 | 2011-10-12 |
| 1497039077 | Rosenlal Betchar | Pharmacist | 25421 Eastern Marketplace Plz, Chantilly, VA 20152-5780 | 2011-09-30 |
| 1194007120 | Robin P Helmstadter | Pharmacist | 25421 Eastern Marketplace Plz, Chantilly, VA 20152-5780 | 2011-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528669751 | Joy Chirnside Mclaughlin | Physical Therapist | 26097 Iverson Drive, Chantilly, VA 20152 | 2020-11-04 |
| 1972132090 | Alissa S Rexo | Specialist | 25251 Beach Place, Chantilly, VA 20152 | 2020-04-02 |
| 1982178620 | South Riding Modern Dentistry, PC | Dentist | 25421 Lizzio Center Dr., Suite 190, Chantilly, VA 20152 | 2019-01-16 |
| 1154897627 | Nicole Hong | Dentist | 25273 Nesting Sq, Chantilly, VA 20152 | 2018-10-22 |
| 1437586369 | Chiron Physical Therapy LLC | Physical Therapist | 48130 Amberwood Plaza, Suite 100, South Riding, VA 20152 | 2013-10-10 |
| 1376772178 | Gloria Seon-young Kim | Dentist | 24805 Pinebrook Rd # 311, Chantilly, VA 20152 | 2009-07-14 |
| 1992955777 | Sohaib S. Elsayed | Family Medicine | 25055 Riding Plz Ste 220, South Riding, VA 20152 | 2008-09-29 |
| 1538328067 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 24795 Pinebrook Rd, South Riding, VA 20152 | 2008-06-09 |
| 1790970556 | Irfan Galaria | Plastic Surgery | 24805 Pinebrook Road, Suite #154, Chantilly, VA 20152 | 2007-09-13 |
| 1316150881 | Dina Gottesman | Pediatrics | 25055 Riding Plaza, Suite 150, South Riding, VA 20152 | 2007-05-08 |
| Find all providers in zip 20152 | ||||
| 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 |
|---|---|---|---|---|
| 1396346466 | Carl Nielsen | Pharmacist | 25050 Riding Plz, Chantilly, VA 20152-5925 | 2020-11-05 |
| 1902406473 | Sanaz Derakhshan | Pharmacist | 42952 Beachall St, Chantilly, VA 20152-2013 | 2020-10-26 |
| 1336747997 | Veena Gujja | Pharmacist | 25401 Eastern Marketplace Plz Ste 150, Chantilly, VA 20152-5784 | 2020-10-15 |
| 1346883303 | Nidhi Patel | Pharmacist | 44073 Sun Devil Sq, Chantilly, VA 20152-1342 | 2019-10-22 |
| 1396200028 | Ruta A Tuku | Pharmacist | 3900 Bokel Dr, Chantilly, VA 20151-3314 | 2019-02-06 |
| 1386022846 | Khanh-ha Nguyen | Pharmacist | 26768 Crusher Dr, Chantilly, VA 20152-4195 | 2015-05-15 |
| 1013250562 | My-linh D Nguyen | Pharmacist | 25760 Spectacular Run Pl, Chantilly, VA 20152-1945 | 2013-04-03 |
| 1538446901 | Kimberly Cherayil | Pharmacist | 27514 Paddock Trail Pl, Chantilly, VA 20152-6392 | 2011-11-13 |
| 1073890638 | Selome T Abbay | Pharmacist | 4151 Sulser Pl, Chantilly, VA 20151-2973 | 2011-11-10 |
| 1265712541 | Tina Marie Krull | Pharmacist | 25401 Eatern Marketplace Plaza, Suite 150, Chantilly, VA 20152-1784 | 2011-08-18 |
| Find all providers in CHANTILLY | ||||
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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.