Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1750859666 Individual Practitioner Male Practitioner

Dr. Emmanuel J Kim , PharmD

Pharmacist • Fairfax, VA

Professional Overview & Biography Verified Profile Summary

Dr. Emmanuel Kim, PharmD is a registered healthcare professional specializing in Pharmacist in Fairfax, VA. Practice services are available at 8095 INNOVATION PARK DR STE 403 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8095 Innovation Park Dr Ste 403

Fairfax, VA 220314868

Telephone 5714723498

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Fairfax, VA

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

Practicing in Fairfax, VA (6716 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: 2021-01-26
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License VA 202217142

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Pharmacy License
202217142 (VA)

Practice Associates & Co-Workers

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

2 Associated Practitioners

Doctor of Pharmacy (Pharm.D.), BCACP, BCADM

NPI 1861494577

Doctor of Pharmacy (Pharm.D.), BCACP

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location January 26, 2021

Registered at 8095 INNOVATION PARK DR STE 403, FAIRFAX, VA 220314868 (Tel: 5714723498)

📍
Updated Business Mailing Address January 26, 2021

Registered at 8095 INNOVATION PARK DR STE 403, FAIRFAX, VA 220314868 (Tel: 5714723498)

👤
Provider Name / Credentials Updated January 26, 2021

Recorded as EMMANUEL KIM, PHARMD

NPI Profile Active November 08, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location November 08, 2018

Registered at 1906 BELLEVIEW AVE SE, ROANOKE, VA 240141838 (Tel: 5405880096)

📍
Updated Business Mailing Address November 08, 2018

Registered at 1906 BELLEVIEW AVE SE, ROANOKE, VA 240141838

👤
Provider Name / Credentials Updated November 08, 2018

Recorded as EMMANUEL KIM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 08, 2018

Pharmacist (License #202217142 in VA)

🟢
Initial NPI Registration & Enumeration November 08, 2018

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: 1750859666
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 08, 2018
Last Update: January 26, 2021
Sole Proprietor: No

Mailing Address

8095 Innovation Park Dr Ste 403

Fairfax, VA 220314868

Phone: 5714723498

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.