Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114641644 Individual Practitioner Female Practitioner

Eun Dam Kim , RPH

Pharmacist • Auburndale, NY

Professional Overview & Biography Verified Profile Summary

Eun Dam Kim, RPH is a registered healthcare professional specializing in Pharmacist in Auburndale, NY. Practice services are available at 19301 NORTHERN BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

19301 Northern Blvd

Auburndale, NY 113582935

Telephone 3477381255
Associated Practice Facility / Clinic
🏢 Walgreen Co Facility NPI 1912421355

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Auburndale, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
9 Specialists

Practicing in Auburndale, NY (23779 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-09-28
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License NY 069605

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Sohil Jain

Pharmacist

NPI 1326581653
NPI 1336833375

Doctor of Pharmacy (Pharm.D.)

Thomas Wang

Pharmacist

NPI 1386967685
NPI 1811249949

Doctor of Pharmacy (Pharm.D.)

NPI 1982080289

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 28, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location September 28, 2022

Registered at 19301 NORTHERN BLVD, AUBURNDALE, NY 113582935 (Tel: 3477381255)

📍
Updated Business Mailing Address September 28, 2022

Registered at 21923 67TH AVE APT B, OAKLAND GARDENS, NY 113642649 (Tel: 3477381255)

👤
Provider Name / Credentials Updated September 28, 2022

Recorded as EUN DAM KIM, RPH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 28, 2022

Pharmacist (License #069605 in NY)

🟢
Initial NPI Registration & Enumeration September 28, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114641644
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 28, 2022
Last Update: September 28, 2022
Sole Proprietor: No

Mailing Address

21923 67th Ave Apt B

Oakland Gardens, NY 113642649

Phone: 3477381255

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.