AUSTIN HYONCHO KIM (NPI# 1669011490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669011490 |
| Entity Type | Individual |
| Full Name | AUSTIN HYONCHO KIM |
| Practice Address |
2058 25 Mile Rd Shelby Township MI 48316-1096 |
| Mailing Address |
3589 Pointe Dr Sterling Heights MI 48314-3186 |
| Practice Telephone | 2486519752 |
| Enumeration Date | 2019-12-26 |
| Last Update Date | 2019-12-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
5302412144 | MI | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194296780 | Austin Kim | Behavior Technician | 1901 Carnegie Ave Ste 1c, Santa Ana, CA 92705-5504 | 2018-12-08 |
| 1750773156 | Austin Kim | Pharmacist | 12345 Saint Charles Rock Rd, Bridgeton, MO 63044-2505 | 2015-02-23 |
| 1366753618 | Austin Kim | Internal Medicine | 55 Lake Ave N, Worcester, MA 01655-0002 | 2010-07-01 |
| 1588862700 | Austin H Kim | Durable Medical Equipment & Medical Supplies | 6380 Tupelo Dr, Suite 4, Citrus Heights, CA 95621-1778 | 2007-07-10 |
| Street Address |
2058 25 MILE RD |
| City | SHELBY TOWNSHIP |
| State | MI |
| Zip Code | 48316-1096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447284294 | Kroger Co of Michigan | Durable Medical Equipment & Medical Supplies | 2058 25 Mile Rd, Shelby Township, MI 48316-1096 | 2006-07-10 |
| 1568096253 | Amanda Hermiz | Pharmacist | 2058 25 Mile Rd, Shelby Township, MI 48316-1096 | 2020-03-03 |
| 1417593369 | Meagan Jean Brinker | Pharmacist | 2058 25 Mile Rd, Shelby Township, MI 48316-1096 | 2019-11-25 |
| 1386280451 | Fadi Francis | Pharmacist | 2058 25 Mile Rd, Shelby Township, MI 48316-1096 | 2019-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679183552 | Jeffrey T Baker Dds PC | Dentist | 8152 25 Mile Rd Ste C, Shelby Twp, MI 48316 | 2020-08-05 |
| 1811459993 | Aspire Psychological Associates LLC | Psychologist | 53200 Van Dyke Ave, Suite 100, Shelby Twp, MI 48316 | 2019-04-05 |
| 1619445798 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 7542 26 Mile Road, Shelby, MI 48316 | 2018-11-07 |
| 1962929117 | Rosni Nair | Nurse Practitioner | 51562 Merry Lane, Shelby Twp, MI 48316 | 2017-08-28 |
| 1548797251 | Susan Dipple | Occupational Therapist | 2041 Crystal Lake Ct S Apt T-376, Shelby Township, MI 48316 | 2017-05-12 |
| 1396295101 | Nikkolas Lawrence Chronis | Pharmacist | 7609 Hartwick, Shelby Twp, MI 48316 | 2016-10-05 |
| 1871976373 | Michelle Lynn Maltese | Dentist | 4147 24 Mile Rd, Shelby Twp, MI 48316 | 2015-07-01 |
| 1750768222 | Michael Justin Ramar | Chiropractor | 2061 25 Mile Rd, Shelby Township, MI 48316 | 2015-05-04 |
| 1215362454 | Aa Transportation Group, LLC | Non-emergency Medical Transport (VAN) | 56516 Ashbrooke Dr W, Shelby Twp, MI 48316 | 2013-09-06 |
| 1932400348 | Rea Counseling Services, PC | Community/Behavioral Health | 51539 Van Dyke Ave, Shelby Twp, MI 48316 | 2010-11-16 |
| Find all providers in zip 48316 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568069946 | Rachael Deblouw | Pharmacist | 14945 23 Mile Rd, Shelby Township, MI 48315-3009 | 2020-10-08 |
| 1568096253 | Amanda Hermiz | Pharmacist | 2058 25 Mile Rd, Shelby Township, MI 48316-1096 | 2020-03-03 |
| 1861030801 | Susan Lynne Findley | Pharmacist | 7644 26 Mile Rd, Shelby Township, MI 48316-5007 | 2019-12-19 |
| 1578100368 | Kimberly Hamilton | Pharmacist | 7644 26 Mile Rd, Shelby Township, MI 48316-5007 | 2019-11-29 |
| 1063822708 | Hadeel Sabah Stephen | Pharmacist | 14945 23 Mile Rd, Shelby Township, MI 48315-3009 | 2014-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578163069 | Alaric Michael Nielson | Pharmacist | 158 Schoolcraft St, Lake Linden, MI 49945-1328 | 2020-10-26 |
| 1598380529 | Daniel Asare Offei | Pharmacist | 2539 Sagewood Ave Ne Unit 718, Grand Rapids, MI 49525-2952 | 2020-06-16 |
| 1013540426 | Aiman Abueida | Pharmacist | 17000 Executive Plaza Dr Ste 201, Dearborn, MI 48126-2793 | 2020-02-14 |
| 1336770866 | Azadeh Ali Moghaddam | Pharmacist | 5951 Sunrise Dr, Ypsilanti, MI 48197-7498 | 2020-02-03 |
| 1811527104 | Bailey Elaine Johnson | Pharmacist | 626 W Front St, Traverse City, MI 49684-2210 | 2020-01-25 |
| 1588202089 | Kenneth Alexander | Pharmacist | 40339 Grand River Ave # 110, Novi, MI 48375 | 2019-12-15 |
| 1760020333 | Deborah Handrinos Njus | Pharmacist | 19028 Stonewater Blvd, Northville, MI 48168-8560 | 2019-12-14 |
| 1255978037 | Dana Trudell | Pharmacist | 829 W 4th St, Pinconning, MI 48650-8907 | 2019-11-29 |
| 1174169270 | Debra Joyce Lammers | Pharmacist | 531 West Main Street, Milan, MI 48160 | 2019-11-23 |
| 1467098533 | Thomas Aaron | Pharmacist | 4194 Glenbrook Ct, Sterling Heights, MI 48310-3378 | 2019-11-22 |
| Find all providers with the same taxonomy | ||||
| City | SHELBY TOWNSHIP |
| Zip Code | 48316 |
Please comment or provide details below to improve the information on AUSTIN HYONCHO 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.