MR. JAY A KIM (NPI# 1790916724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790916724 |
| Entity Type | Individual |
| Full Name | MR. JAY A KIM |
| Credential | RPH |
| Practice Address |
2604 Dempster St Suite 300 Park Ridge IL 60068-8412 |
| Practice Telephone | 8472961200 |
| Practice Fax Number | 8472967913 |
| Mailing Telephone | 8472961200 |
| Mailing Fax Number | 8472967913 |
| Enumeration Date | 2009-08-08 |
| Last Update Date | 2009-08-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 051034220 | IL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356837496 | Jay Kim | Nurse Practitioner | 87 N Wilson Ave Apt 1, Pasadena, CA 91106-2318 | 2018-07-02 |
| 1073948188 | Jay Kim | Acupuncturist | 14511 Franklin Ave # 260, Tustin, CA 92780-7203 | 2013-09-09 |
| 1508130840 | Jay Kim | Pharmacist | 5562 Philadelphia St Ste 110, Chino, CA 91710 | 2012-03-05 |
| 1891920575 | Jay D Kim | Oral & Maxillofacial Surgery | 119 W 57th St Ste 914, New York, NY 10019-2401 | 2009-05-25 |
| 1538312244 | Jay Chan Kim | General Acute Care Hospital | 1014 N Kingsbury St, Chicago, IL 60610-3770 | 2008-10-24 |
| 1750382909 | Jay H Kim | Urology | 205 Frasier St, Durham, NC 27704-2125 | 2005-08-09 |
| 1386252567 | Jay Byung Wook Kim | Student in an Organized Health Care Education/Training Program | 9990 County Farm Rd, Riverside, CA 92503-3542 | 2020-07-14 |
| 1164947339 | Jay Y Kim | Pharmacist | 620 Lafayette Rd, Hampton, NH 03842-3348 | 2017-08-09 |
| 1720517659 | Jay Hyun Kim | Student in an Organized Health Care Education/Training Program | 1500 Fifth Ave Fl 1, Mckeesport, PA 15132-2422 | 2017-06-05 |
| 1073962999 | Jay Kim | Community Health Worker | 12900 Garden Grove Blvd Ste B225, Garden Grove, CA 92843-2040 | 2016-06-10 |
| Street Address |
2604 DEMPSTER ST SUITE 300 |
| City | PARK RIDGE |
| State | IL |
| Zip Code | 60068-8412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457351082 | Clifford W. Rot | Psychologist | 2604 Dempster St, Suite 510, Park Ridge, IL 60068-8412 | 2005-07-26 |
| 1114463916 | Suburban Mobile Ultrasound Services Inc | Clinic/Center | 2604 Dempster St, Ste#112, Park Ridge, IL 60068-8412 | 2017-01-17 |
| 1427447010 | Kt Dental PC | Dentist | 2604 Dempster St, Suite 203, Park Ridge, IL 60068-8412 | 2015-01-20 |
| 1467734178 | Melissa J. Hill | Social Worker | 2604 Dempster St, Ste 306, Park Ridge, IL 60068-8427 | 2011-09-20 |
| 1124355664 | Nancy Landre Phd, P.C. | Clinical Neuropsychologist | 2604 Dempster St, Suite 510, Park Ridge, IL 60068-8412 | 2009-11-04 |
| 1255573127 | Angela T Michelini | Social Worker | 2604 Dempster St, Suite 307, Park Ridge, IL 60068-8412 | 2009-03-24 |
| 1154571693 | April Michelle Anderson | Psychiatry & Neurology | 2604 Dempster St, Suite 307, Park Ridge, IL 60068-8412 | 2008-09-21 |
| 1194972646 | Christine E Fohs | Counselor | 2604 Dempster St, Suite 510, Park Ridge, IL 60068-8412 | 2008-08-26 |
| 1437330917 | Dr. Richard Aronoff, Ltd | Psychologist | 2604 Dempster St, Suite 308, Park Ridge, IL 60068-8412 | 2007-11-26 |
| 1689868580 | Ira Sherman | Psychologist | 2604 Dempster St, Suite 410, Park Ridge, IL 60068-8412 | 2007-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861010720 | Caitlin Marie Kompanowski | Dentist | 412 W. Talcott, Park Ridge, IL 60068 | 2020-07-08 |
| 1972142198 | Center for Authentic Living, Inc. | Counselor | 120 Main Street Suite 200, Park Ridge, IL 60068 | 2020-01-06 |
| 1306312152 | Maryann Almores Devilla | Physical Medicine & Rehabilitation | Sunrise Assisted Living, 1725 Ballard Road, Park Ridge, IL 60068 | 2018-10-19 |
| 1053808857 | Landon Ginsberg | Student in an Organized Health Care Education/Training Program | 1775 Ballard, Park Ridge, IL 60068 | 2018-04-17 |
| 1255828448 | Vera W Brink | Obstetrics & Gynecology | Parkside Professional Center, 1875 Dempster St., Ste. 330, Park Ridge, IL 60068 | 2018-04-13 |
| 1205367448 | Courtney Heim | Psychiatry & Neurology | 1875 W.dempster Street - Park Side Professional Center, Ste 470, Park Ridge, IL 60068 | 2017-03-21 |
| 1720521362 | Alexander Mylonas | Psychologist | 1400 Renaissance Dr Ste 401, Park Ridge, IL 60068 | 2016-11-30 |
| 1376090878 | Rebecca Rajasekhar | Audiologist | 1030 W. Higgins Rd., Audiology Room 6, Park Ridge, IL 60068 | 2016-09-01 |
| 1164818449 | Mohammad Taha Mustaf Taha Mustafa Sheikh | Student in an Organized Health Care Education/Training Program | 1550 North Northwest Highway Suite 107, L.m. Prasad, Md, Sc, Park Ridge, IL 60068 | 2015-04-13 |
| 1518397918 | Megan Roberts | Speech-Language Pathologist | 2240 Campus Dr., Evanston, IL 60068 | 2013-11-21 |
| Find all providers in zip 60068 | ||||
| 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 |
|---|---|---|---|---|
| 1871105155 | Monica Mois | Pharmacist | 1239 N Dee Rd, Park Ridge, IL 60068-1702 | 2020-08-19 |
| 1144692559 | Maurice Johnson | Pharmacist | 1306 Granville Ave, Park Ridge, IL 60068-5012 | 2015-10-25 |
| 1780083741 | Kimberly Kessell | Pharmacist | 2500 Windsor Mall Apt 3m, Park Ridge, IL 60068-3641 | 2014-08-15 |
| 1528407640 | Russell Andrew Mcgillivray | Pharmacist | 913 S Clifton Ave, Park Ridge, IL 60068 | 2013-06-21 |
| 1093099772 | Kelly Becker | Pharmacist | 1775 W Dempster St Ste To1116, Park Ridge, IL 60068-1143 | 2011-09-29 |
| 1689956971 | Yao Beltran | Pharmacist | 1024 Canfield Rd, Park Ridge, IL 60068 | 2011-09-13 |
| 1750600540 | Jack Gruenberg | Pharmacist | 27 Fourth Street, Park Ridge, NJ 07656-1902 | 2010-05-19 |
| 1356578447 | Robert E Gale | Pharmacist | 620 Overhill Ave, Park Ridge, IL 60068-3455 | 2009-06-16 |
| 1043469240 | Rupam Desai | Pharmacist | 24 2nd St, Park Ridge, NJ 07656-1818 | 2008-09-11 |
| 1558481598 | Rick John Annes | Pharmacist | 1816 Brophy Ave, Park Ridge, IL 60068-5202 | 2007-03-31 |
| Find all providers in PARK RIDGE | ||||
| City | PARK RIDGE |
| Zip Code | 60068 |
Please comment or provide details below to improve the information on MR. JAY A 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.