MINA KIM (NPI# 1639331085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639331085 |
| Entity Type | Individual |
| Full Name | MINA KIM |
| Credential | PHARM.D |
| Practice Address |
9506 Main St Fairfax VA 22031-4031 |
| Mailing Address |
9774 Maitland Loop Bristow VA 20136-2576 |
| Practice Telephone | 7034253575 |
| Practice Fax Number | 7034253639 |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2008-06-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 0202206676 | VA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578754008 | Mina Kim | Dentist | 328 Bridge Plz N Apt 1h, Fort Lee, NJ 07024-5013 | 2007-08-08 |
| 1720613805 | Mina Kim | Specialist | 1455 Dixon Ave, Lafayette, CO 80026-8879 | 2020-03-09 |
| 1245879659 | Mina Mariela Kim | Behavior Technician | 16410 Bloomfield Ave Ste B, Cerritos, CA 90703-2144 | 2020-01-02 |
| 1043686272 | Mina Kim | Pharmacist | 15 N Buffalo Grove Rd, Buffalo Grove, IL 60089-1701 | 2015-08-11 |
| 1568704054 | Mina Jung Kim | Anesthesiology | 140 Park Ave, Florham Park, NJ 07932-1049 | 2013-03-22 |
| 1962768986 | Mina Kim | Counselor | 2535 Kettner Blvd, Suite 1a4, San Diego, CA 92101-1250 | 2012-04-03 |
| 1780975417 | Mina Soon Kim | Anesthesiology | 4755 Ogletown-stanton Road, Newark, DE 19718 | 2011-04-28 |
| 1669779237 | Mina C Kim | Dentist | 2 W 46th St, 501, New York, NY 10036-4811 | 2011-02-17 |
| 1093902777 | Mina Kim | Physical Therapist | 6300 Woodside Ct, Suite E, Columbia, MD 21046-1098 | 2007-09-26 |
| 1548398985 | Mina Kim | Optometrist | 189 Montague St, Brooklyn, NY 11201-3610 | 2007-02-28 |
| Street Address |
9506 MAIN ST |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22031-4031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902414105 | Su Jung Kang | Dentist | 9661-c Main Street, Fairfax, VA 22031 | 2020-07-14 |
| 1346896347 | Fuling Guo | Acupuncturist | 3013 James St, Fairfax, VA 22031 | 2019-08-15 |
| 1902458797 | Kayla Callister | Psychologist | 2270 Willow Oaks Corporate Drive, Fairfax, VA 22031 | 2019-07-11 |
| 1790349801 | Fairfax Dental Esthetics | Dentist | 9621 Fairfax Blvd., Fairfax, VA 22031 | 2019-04-24 |
| 1417427675 | Kathryn Yen Ho | Speech-Language Pathologist | 8270 Willow Oaks Corporate Drive Suite 2127, Falls Church, VA 22031 | 2018-11-30 |
| 1932681376 | Joanne Towers | Physician Assistant | 3025 Hamaker Court Suite 300, Fairfax, VA 22031 | 2018-09-01 |
| 1790262020 | S Renee Dennis | Nurse Practitioner | 8316 Arlington Blvd Ste 500, Fairfax, VA 22031 | 2018-07-19 |
| 1013493451 | Elizabeth Joan Dwyer | Physician Assistant | 3023 Hamaker Ct., Suite 500, Fairfax, VA 22031 | 2018-07-18 |
| 1316432669 | Delta Pharm LLC | Pharmacy | 8316 Arlington Blvd Ste 100, Fairfax, VA 22031 | 2018-06-28 |
| 1629567656 | Laura Breeden | Acupuncturist | 3846 Lyndhurst Dr Apt 301, Fairfax, Va, VA 22031 | 2018-05-04 |
| Find all providers in zip 22031 | ||||
| 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 |
|---|---|---|---|---|
| 1679173777 | Farshad Soltanian | Pharmacist | 11181 Lee Hwy # F, Fairfax, VA 22030-5004 | 2020-10-28 |
| 1689274847 | Ruby Lee | Pharmacist | 12190 Waveland St Apt 401, Fairfax, VA 22033-5572 | 2020-10-27 |
| 1366074320 | Han S Yoo | Pharmacist | 12200 West Ox Road, Fairfax, VA 22033 | 2020-02-07 |
| 1134760564 | Susan Tavakoli | Pharmacist | 3046 Mission Square Dr, Fairfax, VA 22031-1113 | 2019-10-07 |
| 1124686894 | Magdy Morkos | Pharmacist | 4263 Jefferson Oaks Cir Apt C, Fairfax, VA 22033-4085 | 2019-05-29 |
| 1487118451 | Beauty Empower Rx LLC | Pharmacist | 3545 Chain Bridge Rd Ste 102, Fairfax, VA 22030-2708 | 2019-01-24 |
| 1619441854 | Patricia Moran | Pharmacist | 10830 Oakcrest Ct, Fairfax, VA 22030-4544 | 2019-01-21 |
| 1578031258 | Kyunglim Lainey Paek | Pharmacist | 4581 Trumpet Vine Dr, Fairfax, VA 22030-6177 | 2018-11-11 |
| 1376042978 | Nicole Laura Fischer | Pharmacist | 4116 Whitacre Rd, Fairfax, VA 22032-1144 | 2018-02-08 |
| 1245752393 | Grace Beshara Handal | Pharmacist | 4320 Cannon Ridge Ct Unit 2, Fairfax, VA 22033-6010 | 2017-07-11 |
| Find all providers in FAIRFAX | ||||
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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.