MR. ANDREW S KIM (NPI# 1669760187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669760187 |
| Entity Type | Individual |
| Full Name | MR. ANDREW S KIM |
| Practice Address |
543 River Rd T-1263 Edgewater NJ 07020-1146 |
| Practice Telephone | 2014020253 |
| Mailing Telephone | 2014020253 |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2011-07-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 28RI02125700 | NJ | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386157816 | Andrew Taeho Kim | Physical Therapist | 2235 241st St Apt 6, Lomita, CA 90717-1062 | 2017-11-06 |
| 1033643895 | Andrew Kim | Dentist | 2001 Lincoln St, Denver, CO 80202-3802 | 2017-04-18 |
| 1477084804 | Andrew Gene Kim | Internal Medicine | 1959 Ne Pacific Street, Radiology Department Rr210, University of Washington, Seattle, WA 98195 | 2017-03-27 |
| 1578952263 | Andrew Kwanhee Kim | Pharmacist | 11520 Rockville Pike, Rockville, MD 20852-2750 | 2015-01-18 |
| 1093009110 | Andrew Kim | Internal Medicine | Camp Humphreys Msg Jenkins Clinic, Unit 15190, Box#12, Apo, AP 96271 | 2011-06-06 |
| 1083911846 | Andrew Kim | Dentist | 2722 W Grand Pkwy N # 200, Katy, TX 77449 | 2011-02-14 |
| 1952553380 | Andrew Heejoon Kim | Internal Medicine | 1414 S Grand Ave Ste 303, Los Angeles, CA 90015-3071 | 2008-10-16 |
| 1942480330 | Andrew H Kim | Dentist | 1655 E Thousand Oaks Blvd, Ste 204, Thousand Oaks, CA 91362-2800 | 2007-11-14 |
| 1851500490 | Andrew Chaehwan Kim | Acupuncturist | 16 W 32nd St Ste 902, New York, NY 10001-0907 | 2007-05-21 |
| 1629280649 | Andrew H Kim | Dentist | 1122 E. Lincoln Ave. #109, Orange, CA 92865-1908 | 2007-05-03 |
| Street Address |
543 RIVER RD T-1263 |
| City | EDGEWATER |
| State | NJ |
| Zip Code | 07020-1146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497772420 | Taryn V Tapia | Optometrist | 543 River Rd, Edgewater, NJ 07020-1146 | 2006-07-16 |
| 1609252436 | Sara Kim | Pharmacist | 543 River Rd, Edgewater, NJ 07020-1146 | 2015-08-04 |
| 1649674094 | Monica Nguyen | Optometrist | 543 River Rd, Edgewater, NJ 07020-1146 | 2014-10-14 |
| 1700136579 | Maura Acevedo | Pharmacist | 543 River Rd, Edgewater, NJ 07020-1146 | 2012-09-19 |
| 1336468594 | Linda Velazquez | Pharmacist | 543 River Rd, Edgewater, NJ 07020-1146 | 2010-05-26 |
| 1265671523 | Dara Beth Martin | Optometrist | 543 River Rd, Edgewater, NJ 07020-1146 | 2009-02-10 |
| 1407906142 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 543 River Rd, Edgewater, NJ 07020-1146 | 2007-01-12 |
| 1659393262 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 543 River Rd, Edgewater, NJ 07020-1146 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851737167 | One Hudson Medical Associates | Non-Pharmacy Dispensing Site | 1829 Hudson Park, Edgewater, NJ 07020 | 2013-05-14 |
| 1003164666 | Daisy Flores | Speech-Language Pathologist | 116 Panorama Drive, Edgewater, NJ 07020 | 2012-08-29 |
| 1518188622 | Barbara Nan Altman | Social Worker | 309 Thornton Court, Edgewater, NJ 07020 | 2007-05-02 |
| 1124173950 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 70 The Promenade Ste C5a, Edgewater, NJ 07020 | 2007-01-24 |
| 1104983717 | Edgewater Pediatrics PC | Pediatrics | 115 River Road, Suite 1003 Building #10, Edgewater, NJ 07020 | 2007-01-02 |
| 1255402293 | Skyview Dental Center LLP | Dentist | 880 River Road, 2nd Floor, Edgewater, NJ 07020 | 2006-11-13 |
| 1043228588 | Irfan Admani | Internal Medicine | 103 River Road, Edgewater, NJ 07020 | 2006-08-03 |
| 1851316319 | Duane Reade | Durable Medical Equipment & Medical Supplies | 11 Edgewater Towne Ctr, Edgewater, NJ 07020 | 2006-07-13 |
| 1679502215 | 968 River Road Radiology | Clinic/Center | 968 River Road, Edgewater, NJ 07020 | 2006-07-03 |
| 1447219191 | Corinne Jeanette Gehegan | Podiatrist | 725 River Road, Suite 201-a, Edgewater, NJ 07020 | 2006-03-21 |
| Find all providers in zip 07020 | ||||
| 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 |
|---|---|---|---|---|
| 1326559246 | Jungran Kim | Pharmacist | 2 Main St Unit 111, Edgewater, NJ 07020-1704 | 2017-10-18 |
| 1336659630 | Khyati Shah | Pharmacist | 543 River Road, Edgewater, NJ 07020-0702 | 2017-10-02 |
| 1144668211 | Nicholas Bohan | Pharmacist | 1909 Sabal Palm Dr, Edgewater, FL 32141-3827 | 2013-06-11 |
| 1316255615 | Nnamdi A Anukam | Pharmacist | 110 Mitchells Chance Rd, Edgewater, MD 21037-2740 | 2010-09-20 |
| 1194031500 | Miji Jeon | Pharmacist | 1511 Tower Dr, Edgewater, NJ 07020-2206 | 2010-08-23 |
| 1639490733 | Brendon Mcquighan | Pharmacist | 13 Lee Airpark Dr, Edgewater, MD 21037-1237 | 2010-06-13 |
| 1790009124 | Olufemi Olayinka Olaniyan | Pharmacist | 3255 Solomons Island Rd, Edgewater, MD 21037-2714 | 2010-03-14 |
| 1780906115 | Olga Fishbeyn | Pharmacist | 607 Stockton Ct, Edgewater, NJ 07020-1674 | 2010-02-26 |
| 1043825896 | Shawnee Michelle Dymond | Pharmacist | 3010 S Ridgewood Ave, Edgewater, FL 32141-5903 | 2020-09-09 |
| 1760093520 | Jessica Wynn Cecelic | Pharmacist | 3010 S Ridgewood Ave, Edgewater, FL 32141-5903 | 2020-08-13 |
| Find all providers in EDGEWATER | ||||
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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.