DR. JERRY YI-KANG KU (NPI# 1740613736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740613736 |
| Entity Type | Individual |
| Full Name | DR. JERRY YI-KANG KU |
| Credential | PHARMD. RPH |
| Practice Address |
3501 Stockdale Hwy Bakersfield CA 93309-2150 |
| Practice Telephone | 6613985055 |
| Practice Fax Number | 6613985040 |
| Mailing Telephone | 6613985055 |
| Mailing Fax Number | 6613985040 |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2013-08-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 65835 | CA | Pharmacy Service Providers |
| Street Address |
3501 STOCKDALE HWY |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93309-2150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639171069 | Mariana Grozdeva | Internal Medicine | 3501 Stockdale Hwy, Bakersfield, CA 93309-2150 | 2005-08-15 |
| 1922564764 | Jagjit Singh | Pharmacist | 3501 Stockdale Hwy, Bakersfield, CA 93309-2150 | 2019-02-18 |
| 1134668288 | Sam Louie | Pharmacist | 3501 Stockdale Hwy, Bakersfield, CA 93309-2150 | 2017-02-21 |
| 1942749007 | Xavier Vega | Pharmacist | 3501 Stockdale Hwy, Bakersfield, CA 93309-2150 | 2017-02-21 |
| 1679012470 | Xuan Dieu Le | Pharmacist | 3501 Stockdale Hwy, Bakersfield, CA 93309-2150 | 2017-02-14 |
| 1801334172 | Danh Vu | Pharmacist | 3501 Stockdale Hwy, Bakersfield, CA 93309-2150 | 2017-02-07 |
| 1013398916 | Bagrat Mkrtchyan | Family Medicine | 3501 Stockdale Hwy, Bakersfield, CA 93309-2150 | 2015-06-16 |
| 1841615036 | Ronakkumar D Patel | Internal Medicine | 3501 Stockdale Hwy, Bakersfield, CA 93309-2150 | 2014-02-24 |
| 1871932723 | Frances Mcintyre-krel | Family Medicine | 3501 Stockdale Hwy, Bakersfield, CA 93309-2150 | 2013-06-24 |
| 1497019004 | Corollos Samir Abdelshehid | Family Medicine | 3501 Stockdale Hwy, Bakersfield, CA 93309 | 2012-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235760042 | Jovana Calvillo | Counselor | 5959 Truxtun Ave # 100, Bakersfield, CA 93309 | 2020-01-30 |
| 1972146090 | Lauryn A Cooper | Physician Assistant | 5060 California Ave., Suite 620, Bakersfield, CA 93309 | 2019-10-21 |
| 1164906814 | Emergency Physicians Urgent Care Inc | Clinic/Center | 212 Coffee Road, Bakersfield, CA 93309 | 2018-09-19 |
| 1497258487 | Emerald Family Medical Group Inc | Clinic/Center | 212 Coffee Rd, Bakersfield, CA 93309 | 2018-03-15 |
| 1508368069 | Outpatient Surgery Center LLC | Podiatrist | 5000 Commerce Drive, Suite 203, Bakersfield, CA 93309 | 2018-03-01 |
| 1114431012 | Milka Lara | Marriage & Family Therapist | 3628 Stockdale Hwm, Bakersfield, CA 93309 | 2017-11-30 |
| 1598275661 | Viviana Janet Rojas | Case Manager/Care Coordinator | 1521 Stockdale Hwy, Ste 150, Bakersfield, CA 93309 | 2017-10-03 |
| 1821512963 | Robert A. Spack | Family Medicine | 5129 Ming Avenue, Bakersfield, CA 93309 | 2017-07-31 |
| 1982125431 | Darlene Porter | Home Health Aide | 3900 Adair Ct, Bakersfield, CA 93309 | 2017-07-05 |
| 1700316783 | Ana Isela An | Social Worker | 5121 Stockdale Hwy # Hwym150a, Bakersfield, CA 93309 | 2017-06-13 |
| Find all providers in zip 93309 | ||||
| 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 |
|---|---|---|---|---|
| 1124625769 | Gowoon Lee | Pharmacist | 9700 Panama Ln, Bakersfield, CA 93311-9745 | 2020-10-07 |
| 1356972038 | Michael Hoang Nguyen | Pharmacist | 10109 Cranberry Isle Dr, Bakersfield, CA 93314-8093 | 2020-01-30 |
| 1073150181 | Sherry Kuo | Pharmacist | 431 34th St, Bakersfield, CA 93301-2236 | 2019-12-08 |
| 1851933667 | Silva Safar | Pharmacist | 3405 Mont Blanc Ter, Bakersfield, CA 93306-7561 | 2019-10-14 |
| 1386208130 | Sharon Brar | Pharmacist | 10524 Hageman Rd, Bakersfield, CA 93312-9106 | 2019-04-26 |
| 1013477769 | Joel Frigillana | Pharmacist | 2003 Valewood St, Bakersfield, CA 93311-8526 | 2019-03-20 |
| 1922583814 | Dalia Hakim | Pharmacist | 4000 Scenic River Ln Apt 15l, Bakersfield, CA 93308-7528 | 2018-09-26 |
| 1093212722 | Estelle Inhae Kim | Pharmacist | 1100 Mondavi Way Apt E3, Bakersfield, CA 93312-4349 | 2018-04-09 |
| 1043714025 | Amir Elwazir | Pharmacist | 700 Airport Dr Apt C, Bakersfield, CA 93308-4113 | 2018-03-22 |
| 1386152411 | Woori Park | Pharmacist | 5645 Auburn St Ste B, Bakersfield, CA 93306-2870 | 2018-01-10 |
| Find all providers in BAKERSFIELD | ||||
| City | BAKERSFIELD |
| Zip Code | 93309 |
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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.