Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1841755949 Individual Practitioner Female Practitioner

Dr. Kim Sisouk , PharmD

Pharmacist • Falls Church, VA

Professional Overview & Biography Verified Profile Summary

Dr. Kim Sisouk, PharmD is a registered healthcare professional specializing in Pharmacist in Falls Church, VA. Practice services are available at 3480 S JEFFERSON ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3480 S Jefferson St

Falls Church, VA 220413104

Telephone 7039311333
Fax 8444116528
Associated Practice Facility / Clinic
🏢 Giant Of Maryland Llc Facility NPI 1396778635

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Falls Church, VA

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

Practicing in Falls Church, 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: 2020-11-03
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License VA 0202215342

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.

Pharmacist

NUCC Taxonomy Code: 183500000X

State License DC PH100002630

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.

Pharmacist

NUCC Taxonomy Code: 183500000X

State License MD 24641

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.

Secondary Practice Locations

6800 Richmond Hwy

Alexandria, VA 223061704

Phone: 7037656696

Practice Associates & Co-Workers

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

1 Associated Practitioners
Liza Choudhary

Pharmacist

NPI 1427651991

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location November 03, 2020

Registered at 3480 S JEFFERSON ST, FALLS CHURCH, VA 220413104 (Tel: 7039311333)

📍
Updated Business Mailing Address November 03, 2020

Registered at 6710 PORTREE CT, SPRINGFIELD, VA 221522933 (Tel: 7072176997)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 03, 2020

Pharmacist (License #24641 in MD)

NPI Profile Active February 04, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location February 04, 2019

Registered at 6800 RICHMOND HWY, ALEXANDRIA, VA 223061704 (Tel: 7037656696)

📍
Updated Business Mailing Address February 04, 2019

Registered at 2700 DARTMOUTH RD APT 3, ALEXANDRIA, VA 223144900 (Tel: 7072176997)

👤
Provider Name / Credentials Updated February 04, 2019

Recorded as KIM SISOUK, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 04, 2019

Pharmacist (License #0202215342 in VA)

🟢
Initial NPI Registration & Enumeration February 04, 2019

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: 1841755949
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 04, 2019
Last Update: November 03, 2020
Sole Proprietor: No

Mailing Address

6710 Portree Ct

Springfield, VA 221522933

Phone: 7072176997

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.