STEPHEN KIM (NPI# 1558909408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558909408 |
| Entity Type | Individual |
| Full Name | STEPHEN KIM |
| Practice Address |
1540 E Highland Ave San Bernardino CA 92404-4614 |
| Practice Telephone | 9098864981 |
| Mailing Telephone | 9098864981 |
| Enumeration Date | 2019-12-11 |
| Last Update Date | 2019-12-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 78986 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912444779 | Stephen Kim | Specialist/Technologist | 175 Sam Sibley Dr., Natchitoches, LA 71457 | 2017-01-31 |
| 1265765473 | Stephen Joseph Kim | Dentist | 1200 112th Ave Ne Ste B275, Bellevue, WA 98004-3738 | 2009-09-08 |
| 1043434483 | Stephen Hojong Kim | Dentist | 4061 Kirkpatrick Ln, Suite 100, Flower Mound, TX 75028 | 2007-04-13 |
| 1760539068 | Stephen Sae Chang Kim | Family Medicine | 177 Mouse Creek Rd Nw, Cleveland, TN 37312-3838 | 2007-01-05 |
| 1659449791 | Stephen Kim | Dentist | 7841 Commonwealth Ave, Buena Park, CA 90621-2422 | 2006-11-30 |
| 1376563403 | Stephen Alan Kim | Family Medicine | 3140 Legacy Dr Ste 720, Frisco, TX 75034-7917 | 2006-07-20 |
| 1740226893 | Stephen S Kim | Internal Medicine | 222 Ne Park Plaza Dr, Suite 100, Vancouver, WA 98684-5895 | 2006-06-20 |
| 1285175109 | Stephen Kim | Orthotist | 2434 W Peterson Ave, Chicago, IL 60659-4113 | 2017-03-10 |
| 1851750400 | Stephen Kim | Dentist | 5545 E Broadway Blvd Ste 107, Tucson, AZ 85711 | 2016-02-10 |
| 1225387848 | Stephen S Kim | Pharmacist | 2201 Se Loop 820, Fort Worth, TX 76119-5863 | 2012-08-29 |
| Street Address |
1540 E HIGHLAND AVE |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92404-4614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295778033 | Longs Drug Stores California LLC | Pharmacy | 1540 E Highland Ave, San Bernardino, CA 92404-4614 | 2006-06-13 |
| 1639782204 | Sarah Palomera | Pharmacist | 1540 E Highland Ave, San Bernardino, CA 92404-4614 | 2020-08-25 |
| 1639717481 | Narine Bleu Gevorkian | Pharmacist | 1540 E Highland Ave, San Bernardino, CA 92404-4614 | 2019-12-11 |
| 1982188959 | Meagan Reynoldson | Pharmacist | 1540 E Highland Ave, San Bernardino, CA 92404-4614 | 2018-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740849363 | Danniella Alexandra Murillo | Physician Assistant | 2101 North Waterman Ave, San Bernardino, CA 92404 | 2019-06-07 |
| 1902377484 | Shauntel Renee Nelson | Student in an Organized Health Care Education/Training Program | 1481 N. Windsor Dr., San Bernardino, CA 92404 | 2018-12-10 |
| 1487123584 | Garrett M Grigg | Licensed Psychiatric Technician | 1481 N Windsor Dr, San Bernardino, CA 92404 | 2018-11-19 |
| 1881163434 | James Dean Anders | Counselor | 1481 Windsor Drive, San Bernardino, CA 92404 | 2018-11-13 |
| 1043703564 | Samantha Makpaiboonvatana | Optometrist | 1909 N Waterman Ave Ste 3, San Bernardino, CA 92404 | 2018-06-09 |
| 1861981623 | Christopher Windham | Behavior Technician | 2460 Fremontia Dr, San Bernardino, CA 92404 | 2018-05-08 |
| 1891145041 | Cynthia Lusy Gastelum | Marriage & Family Therapist | 1885 E Lynwood Dr Rm Se3, San Bernardino, CA 92404 | 2016-06-20 |
| 1336598259 | Foundation Enterprises LLC | Non-emergency Medical Transport (VAN) | 1663 Date Pl., #30390, San Bernardino, CA 92404 | 2016-06-10 |
| 1881042877 | Helen Ann Thompson | Speech-Language Pathologist | 1311 E. State St., San Bernardo, CA 92404 | 2016-05-31 |
| 1366839938 | Lanecia Richardson | Counselor | 135 Paul Drive, San Rafeal, CA 92404 | 2015-04-22 |
| Find all providers in zip 92404 | ||||
| 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 |
|---|---|---|---|---|
| 1710592670 | Amanda Messrah | Pharmacist | 3010 W Meyers Rd, San Bernardino, CA 92407-2082 | 2020-09-08 |
| 1689172447 | Robert Edward Beeman | Pharmacist | 355 E 21st St Ste A, San Bernardino, CA 92404-4851 | 2018-01-26 |
| 1417460247 | Nguyen D Dao | Pharmacist | 1033 N Waterman Ave Ste C, San Bernardino, CA 92410-3808 | 2017-11-15 |
| 1861937138 | Theresa Cherisse Taylor | Pharmacist | 618 S Mount Vernon Ave, Suite 136, San Bernardino, CA 92410-2762 | 2016-12-22 |
| 1851766505 | Afrouz Nikmanesh | Pharmacist | 1099 E. Hospitality Dr., San Bernardino, CA 92408 | 2015-12-07 |
| 1316319320 | Helen Phuoc Dien Tran | Pharmacist | 735 Carnegie Dr Ste 250, San Bernardino, CA 92408-3592 | 2015-10-29 |
| 1841676657 | Danielle Lenee Davis | Pharmacist | 1455 East 3rd St, San Bernardino, CA 92408-1719 | 2015-08-04 |
| 1811397086 | Xiaoyun Yang Peng | Pharmacist | 1535 S D St Ste 230, San Bernardino, CA 92408-3253 | 2014-08-25 |
| 1558606517 | Pradeep Amin | Pharmacist | 4150 N Sierra Way, San Bernardino, CA 92407 | 2012-12-03 |
| 1649537762 | Edward V Guerrero | Pharmacist | 10990 East Hospitality Lane, San Bernardino, CA 92408 | 2012-04-13 |
| Find all providers in SAN BERNARDINO | ||||
| City | SAN BERNARDINO |
| Zip Code | 92404 |
Please comment or provide details below to improve the information on STEPHEN KIM.
| 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.