DR. GRACE CHO KIM (NPI# 1609275551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609275551 |
| Entity Type | Individual |
| Full Name | DR. GRACE CHO KIM |
| Credential | PHARMD |
| Practice Address |
1201 N Service Rd E Ruston LA 71270-2917 |
| Practice Telephone | 3182510392 |
| Mailing Telephone | 3182510392 |
| Enumeration Date | 2014-08-16 |
| Last Update Date | 2014-08-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 43804 | TX | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 016124 | LA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407417611 | Grace Kim | Acupuncturist | 414 N Coast Highway 101, Encinitas, CA 92024-2529 | 2019-06-27 |
| 1417415662 | Grace Kim | Dietitian, Registered | 2120 Evergreen Dr, San Bruno, CA 94066-1828 | 2019-03-06 |
| 1467971283 | Grace Y Kim | Student in an Organized Health Care Education/Training Program | Lacdmh Hucla 1000 W. Carson Street, Torrance, CA 90502 | 2017-09-13 |
| 1023405305 | Grace Eunheh Kim | Dentist | 7112 Ed Bluestein Blvd Ste 130, Austin, TX 78723-2924 | 2015-04-23 |
| 1679991897 | Grace Kim | Pediatrics | 925 E Southlake Blvd, Suite 100, Southlake, TX 76092 | 2014-04-03 |
| 1437572153 | Grace Kim | Occupational Therapist | 1607 W Redondo Beach Blvd, Gardena, CA 90247-3241 | 2014-01-31 |
| 1912335001 | Grace Jiin Kim | Acupuncturist | 61 Campbell Ave, Woodcliff Lake, NJ 07677-8061 | 2013-10-29 |
| 1255766119 | Grace Kim | Registered Nurse | 19416 37th Ave, Flushing, NY 11358-4003 | 2013-09-11 |
| 1366787103 | Grace G Kim | Physical Therapist | 375 Dover Chester Rd, Randolph, NJ 07869-3910 | 2012-12-05 |
| 1255684189 | Grace Donghwa Kim | Acupuncturist | 61 E 75th St Fl 2, New York, NY 10021-2739 | 2012-10-16 |
| Street Address |
1201 N SERVICE RD E |
| City | RUSTON |
| State | LA |
| Zip Code | 71270-2917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518984855 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1201 N Service Rd E, Ruston, LA 71270-2917 | 2006-07-16 |
| 1356990436 | Penny Pouncey Hutcheson | Pharmacist | 1201 N Service Rd E, Ruston, LA 71270-2917 | 2019-09-10 |
| 1164893996 | Danny Clay | Pharmacist | 1201 N Service Rd E, Ruston, LA 71270-2917 | 2015-10-20 |
| 1831500586 | Kristi Wade | Pharmacist | 1201 N Service Rd E, Ruston, LA 71270-2917 | 2014-05-15 |
| 1477964443 | Kanethia Daniel | Pharmacist | 1201 N Service Rd E, Ruston, LA 71270-2917 | 2014-05-13 |
| 1568545036 | Wal-mart Stores Louisiana, LLC | Technician/Technologist | 1201 N Service Rd E, Ruston, LA 71270-2917 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821315 | Olivia Mason | Marriage & Family Therapist | 413 North Homer Street, Ruston, LA 71270 | 2020-11-04 |
| 1972146132 | Razz Addiction and Recovery, LLC | Family Medicine | 570 Heard Rd, Ruston, LA 71270 | 2019-10-21 |
| 1518435999 | Tenia Holloway | Case Manager/Care Coordinator | 612 Henderson St., F12, Ruston, LA 71270 | 2018-11-05 |
| 1245708718 | A Plus Medical of Ruston LLC | Family Medicine | 612 S Farmerville Street, Ruston, LA 71270 | 2018-11-02 |
| 1255808085 | Amanda M Clark | Specialist/Technologist | 2301 Timberline Ct Apt F105, Ruston, LA 71270 | 2018-10-30 |
| 1912473752 | Lincoln Nova Vital Recovery | Counselor | 4396 Hwy, 80, 617 South Trention, Ruston, LA 71270 | 2018-10-19 |
| 1861975237 | Wymeka Andrea Breaux | Case Manager/Care Coordinator | 705 Martin Luther King Dr., Ruston, LA 71270 | 2018-09-12 |
| 1790292001 | Louquyhanta Foster | Case Manager/Care Coordinator | 593 Belton Rd, Ruston, LA 71270 | 2018-01-08 |
| 1609391010 | Chemia Herron | Counselor | 775 S Bonner, Ruston, LA 71270 | 2017-08-07 |
| 1477083517 | Arnesha Beard | Counselor | 775 South Bonner, Ruston, LA 71270 | 2017-06-12 |
| Find all providers in zip 71270 | ||||
| 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 |
|---|---|---|---|---|
| 1265831267 | Shelley Parker | Pharmacist | 1201 North Service Road East, Wal-mart Pharmacy, Ruston, LA 71270 | 2014-08-15 |
| 1922359009 | Megan J Hunt | Pharmacist | 105 W California Ave, Ruston, LA 71270-5013 | 2012-09-28 |
| 1093097982 | Lauren Good | Pharmacist | 109 N Trenton St Ste 2, Ruston, LA 71270-4373 | 2011-09-15 |
| 1467750562 | Melissa L Gallagher | Pharmacist | 180 Lancaster Ln, Ruston, LA 71270-3293 | 2011-03-14 |
| 1912215419 | Benson Eugene King | Pharmacist | 1500 N Trenton Street, Ruston, LA 71270-2328 | 2010-09-17 |
| 1205141181 | Heather Jewell Furr | Pharmacist | 1680 E Kentucky Ave, Ruston, LA 71270-6615 | 2010-08-16 |
| 1083942759 | Phil H Waltz Jr. | Pharmacist | 200 N Trenton St, Ruston, LA 71270-4324 | 2009-11-18 |
| 1750980066 | Layne Dishman | Pharmacist | 1401 N Trenton St, Ruston, LA 71270-2325 | 2020-10-19 |
| 1063038545 | Craig Lavespere | Pharmacist | 104 W Line Ave, Ruston, LA 71270-5044 | 2020-06-22 |
| 1730710120 | Dhrumilkumar D Patel | Pharmacist | 1401 N Trenton St, Ruston, LA 71270-2325 | 2020-02-04 |
| Find all providers in RUSTON | ||||
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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.