SANDRA LEE KIM (NPI# 1912078528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912078528 |
Entity Type | Individual |
Full Name | SANDRA LEE KIM |
Practice Address |
833 S Wood St Room 164 Chicago IL 60612-7229 |
Mailing Address |
533 W Barry Ave Apt 12b Chicago IL 60657-5474 |
Practice Telephone | 3129966644 |
Mailing Telephone | 7349458154 |
Enumeration Date | 2006-11-13 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 183500000X | Pharmacist | 5302033788 | MI | Pharmacy Service Providers |
Y | 183500000X | Pharmacist | 51291282 | IL | Pharmacy Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780111450 | Sandra S Kim | Social Worker | 23 Kingsberry Way, Easthampton, MA 01027-2576 | 2017-05-12 |
1720265283 | Sandra Kim | Internal Medicine | 31 Massachusetts Ave, #41, Boston, MA 02115-1406 | 2008-01-28 |
1164914958 | Sandra Myounga Kim | Behavioral Analyst | 110 Cedar St Ste 10, Wellesley, MA 02481-3527 | 2018-06-06 |
1306355698 | Sandra Yu Kim | Registered Nurse | 711 Del Amo Blvd, Torrance, CA 90502-1362 | 2017-09-29 |
1346520673 | Sandra Kim | Pharmacist | 4315 W Mcdowell Rd, Phoenix, AZ 85035-4201 | 2011-08-18 |
1497814008 | Sandra Denise Kim | Obstetrics & Gynecology | 25825 Vermont Ave, Harbor City, CA 90710-3518 | 2006-12-08 |
1942380043 | Sandra C Kim | Pediatrics | 4401 Penn Ave, Children's Hospital of Pittsburgh of Upmc, Division Of, Pittsburgh, PA 15224-1334 | 2006-10-16 |
1114906575 | Sandra Kim | Dentist | 4379 Ridgewood Center Dr Ste 102, Woodbridge, VA 22192-8323 | 2006-01-13 |
Street Address |
833 S WOOD ST ROOM 164 |
City | CHICAGO |
State | IL |
Zip Code | 60612-7229 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447294012 | Annette N Pellegrino | Pharmacist | 833 S Wood St, M/c 886, Chicago, IL 60612-7229 | 2006-06-15 |
1255994182 | Jamie Micheletto | Pharmacist | 833 S Wood St, Chicago, IL 60612-7229 | 2019-04-16 |
1417420308 | Enela Aliaj | Pharmacist | 833 S Wood St, Chicago, IL 60612-7229 | 2019-01-03 |
1235628355 | Jovan Borjan | Pharmacist | 833 S Wood St, Chicago, IL 60612-7229 | 2018-05-03 |
1326540915 | David Allan Butler | Pharmacist | 833 S Wood St, Room 164 (mc 886), Chicago, IL 60605 | 2018-02-28 |
1700384849 | Danielle Tompkins | Pharmacist | 833 S Wood St, Chicago, IL 60612-7229 | 2018-01-23 |
1780132191 | Meghan Mccomb | Pharmacist | 833 S Wood St, 164 Pharm Mc 886, Chicago, IL 60612-7229 | 2016-09-14 |
1689020943 | University of Illinois At Chicago | General Acute Care Hospital | 833 S Wood St, Suite 164 (mc 886), Chicago, IL 60612-7229 | 2016-05-05 |
1588034698 | Kristin Progar | Pharmacist | 833 S Wood St, M/c 886, Chicago, IL 60612-7229 | 2015-10-01 |
1811376270 | Clarissa Michelle Sema | Pharmacist | 833 S Wood St, Chicago, IL 60612-7229 | 2015-05-19 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
1154942449 | Keisha Davell Cole | Case Manager/Care Coordinator | 612 S Western Ave Unit 1, Chicago, IL 60612 | 2020-04-28 |
1275153777 | Isac Lim | Student in an Organized Health Care Education/Training Program | 1234 S. Wells, Chicago, IL 60612 | 2020-04-24 |
1578183414 | Zachary Belden | Student in an Organized Health Care Education/Training Program | Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 | 2020-04-21 |
1548880560 | Christina Nunez | Student in an Organized Health Care Education/Training Program | 801 S. Paulina Street, M/c 850, Chicago, IL 60612 | 2020-04-20 |
Find all providers in zip 60612 |
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 |
---|---|---|---|---|
1760083414 | Cedomir Micic | Pharmacist | 1111 W 14th Pl Unit 126, Chicago, IL 60608-2796 | 2020-11-07 |
1003416439 | Denise Venketramen | Pharmacist | 939 W Madison St Apt 310, Chicago, IL 60607-2656 | 2020-10-26 |
1427657063 | Sundis I Islefo | Pharmacist | 2647 W Rascher Ave Apt 2w, Chicago, IL 60625-3106 | 2020-10-24 |
1497353361 | Eleanor English | Pharmacist | 910 W Huron St Unit 1209, Chicago, IL 60642-5968 | 2020-10-13 |
1942808001 | Iris Esmeralda Gutierrez | Pharmacist | 3343 S Leavitt St, Chicago, IL 60608-6018 | 2020-10-12 |
1417564790 | Tara Airola | Pharmacist | 857 N Marshfield Ave Unit 1, Chicago, IL 60622-5132 | 2020-09-30 |
1174137129 | Tangtang Zhao | Pharmacist | 9148 S Commercial Ave, Chicago, IL 60617-4307 | 2020-09-06 |
1710591334 | Karolina Maculewicz | Pharmacist | 371 W Ontario St, Chicago, IL 60654-5716 | 2020-09-01 |
1700490448 | Anita Saini | Pharmacist | 5140 N California Ave, Chicago, Il 60625, Chicago, IL 60625 | 2020-09-01 |
1245844026 | Rachel Klepacz | Pharmacist | 101 N Clinton St, Chicago, IL 60661-1505 | 2020-08-31 |
Find all providers in CHICAGO |
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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.