JENNY KIM (NPI# 1770974958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770974958 |
| Entity Type | Individual |
| Full Name | JENNY KIM |
| Practice Address |
10301 New Guinea Rd Fairfax VA 22032-3268 |
| Practice Telephone | 7037645112 |
| Mailing Telephone | 7037645112 |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2015-02-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183700000X | Pharmacy Technician | 470101090255092 | VA | Pharmacy Service Providers |
| Y | 183700000X | Pharmacy Technician | 0230011000 | VA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538670120 | Jenny Yunhee Kim | Counselor | 109 W 38th St Fl 3, New York, NY 10018-3615 | 2017-10-23 |
| 1609927896 | Jenny A Kim | Dentist | 1538 E Collins Ave, Orange, CA 92867-5934 | 2007-01-15 |
| 1275531907 | Jenny Christine Kim | Otolaryngology | 484 Irvin Ct, Ste 140, Decatur, GA 30030-5406 | 2005-07-07 |
| 1346868858 | Jenny Kim | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd Stop 7200, Dallas, TX 75390-7200 | 2020-07-10 |
| 1962021758 | Jenny Jina Kim | Student in an Organized Health Care Education/Training Program | 1211 Medical Center Dr, Nashville, TN 37232-0004 | 2020-04-11 |
| 1538798962 | Jenny Kim | Nurse Practitioner | 2901 Telestar Ct Ste 200, Falls Church, VA 22042-1262 | 2020-04-07 |
| 1306473806 | Jenny Kim | Student in an Organized Health Care Education/Training Program | 3020 Childrens Way # Mc5124, San Diego, CA 92123-4223 | 2020-03-24 |
| 1952943953 | Jenny Y Kim | Registered Nurse | 9669 Kenton Ave Ste 405, Skokie, IL 60076-1267 | 2019-10-10 |
| 1982118469 | Jenny H Kim | Dental Hygienist | 10602 Chapman Ave Ste 200, Garden Grove, CA 92840-3147 | 2017-11-20 |
| 1740647213 | Jenny Kim | Nurse Practitioner | 41 E Post Rd, White Plains, NY 10601-4607 | 2016-01-28 |
| Street Address |
10301 NEW GUINEA RD |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22032-3268 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922039403 | Laura Ellen Rigney | Nurse Practitioner | 10301 New Guinea Rd, Fairfax, VA 22032-3268 | 2006-07-05 |
| 1518318906 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 10301 New Guinea Rd, Fairfax, VA 22032-3268 | 2016-06-27 |
| 1205212909 | Harrison J Kim | Pharmacy Technician | 10301 New Guinea Rd, Fairfax, VA 22032-3268 | 2015-08-04 |
| 1568854107 | Monica Anahita Fathipour Jalilian | Pharmacy Technician | 10301 New Guinea Rd, Fairfax, VA 22032-3268 | 2015-02-18 |
| 1164813325 | Sara Kim | Pharmacy Technician | 10301 New Guinea Rd, Fairfax, VA 22032-3268 | 2015-02-10 |
| 1124419528 | Kristina Kang | Pharmacy Technician | 10301 New Guinea Rd, Fairfax, VA 22032-3268 | 2015-02-07 |
| 1649661034 | Jay Grant Matthews Jr. | Pharmacy Technician | 10301 New Guinea Rd, Fairfax, VA 22032-3268 | 2015-02-07 |
| 1497146963 | Merii Tikoyan | Pharmacy Technician | 10301 New Guinea Rd, Fairfax, VA 22032-3268 | 2015-02-05 |
| 1811388390 | Porsha Moon | Pharmacy Technician | 10301 New Guinea Rd, Fairfax, VA 22032-3268 | 2015-02-05 |
| 1942690573 | Michael Tam Le | Pharmacy Technician | 10301 New Guinea Rd, Fairfax, VA 22032-3268 | 2015-02-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093193567 | Cynthia Leigh Pascal | Counselor | 9801 Joyce Street, Fairfax, VA 22032 | 2015-05-15 |
| 1760888432 | Judy Lim | Massage Therapist | 4205 Olley Ln, Fairfax, VA 22032 | 2014-11-07 |
| 1083015010 | Caring Heart Nursing Services LLC | Registered Nurse | 4824 Gainsborough Dr, Fairfax, VA 22032 | 2014-09-09 |
| 1033483839 | Inovacares for Seniors | PACE Provider Organization | 4027b Olley Lane, Braddock Glen, Fairfax, VA 22032 | 2012-02-27 |
| 1598032716 | Joshua Michael Prozeralik | Pharmacist | 10310 New Guinea Road, Burke, VA 22032 | 2011-11-17 |
| 1356570071 | Azmy A. Iskander | Emergency Medicine | 10520 Acacia Lane, Fairfax, VA 22032 | 2009-07-02 |
| 1851515175 | The Pediatric Group, PC | Registered Nurse | 10527 Braddock Road, Fairfax, VA 22032 | 2007-04-11 |
| 1770634313 | Andrea L Lubeck | Nurse Practitioner | 10301 New Guinea Road, Cvs Health, Minuteclinic, Fairfax, VA 22032 | 2007-01-12 |
| 1104167212 | Inova Health Care Services | PACE Provider Organization | 4027b Olley Lane, Braddock Glen, Fairfax, VA 22032 | 2013-03-14 |
| 1790953420 | Amanda Nicole Collins | Physician Assistant | 238 Brookley Avenue, Bolling Afb, DC 22032 | 2008-02-15 |
| Find all providers in zip 22032 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912398330 | Denise Higgins | Pharmacy Technician | 2905 District Ave S, 400, Fairfax, VA 22031 | 2015-02-06 |
| 1619367471 | Dale Terrier | Pharmacy Technician | 2905 District Ave, Ste 400, Fairfax, VA 22031-2273 | 2015-02-02 |
| 1205212909 | Harrison J Kim | Pharmacy Technician | 10301 New Guinea Rd, Fairfax, VA 22032-3268 | 2015-08-04 |
| 1568854107 | Monica Anahita Fathipour Jalilian | Pharmacy Technician | 10301 New Guinea Rd, Fairfax, VA 22032-3268 | 2015-02-18 |
| 1164813325 | Sara Kim | Pharmacy Technician | 10301 New Guinea Rd, Fairfax, VA 22032-3268 | 2015-02-10 |
| 1124419528 | Kristina Kang | Pharmacy Technician | 10301 New Guinea Rd, Fairfax, VA 22032-3268 | 2015-02-07 |
| 1649661034 | Jay Grant Matthews Jr. | Pharmacy Technician | 10301 New Guinea Rd, Fairfax, VA 22032-3268 | 2015-02-07 |
| 1952792343 | Jimmy Le | Pharmacy Technician | 2905 District Ave, Ste 400, Fairfax, VA 22031-2273 | 2015-02-06 |
| 1497146963 | Merii Tikoyan | Pharmacy Technician | 10301 New Guinea Rd, Fairfax, VA 22032-3268 | 2015-02-05 |
| 1811388390 | Porsha Moon | Pharmacy Technician | 10301 New Guinea Rd, Fairfax, VA 22032-3268 | 2015-02-05 |
| 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.