ESTHER J SHIM - NPI NUMBER 1649524497

Summary

Provider Name: ESTHER J SHIM

NPI Number: 1649524497

Clasification: Pharmacist (183500000X)

Address:
4627 CARMEL MOUNTAIN RD
SAN DIEGO, CA
ZIP 92130

Phone Number: (858) 523-1842



Detailed Information

Esther J Shim is a pharmacist in San Diego, CA. The provider is 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. The assigned NPI number for this provider is 1649524497 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business address is:

4627 CARMEL MOUNTAIN RD
SAN DIEGO, CA
ZIP 92130-613
Phone: (858) 523-1842

The enumeration date for this NPI number is 11/1/2012 and was last updated on 11/1/2012.

Map - Location of Practice

Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 183500000X Pharmacist 68120 CA Yes

NPI Record

No. Field Name Field Value Field Definition 1
1 NPI 1649524497
2 Entity Type Code 1 Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
3 Provider Last Name Legal Name SHIM Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
4 Provider First Name ESTHER The first name of the provider, if the provider is an individual.
5 Provider Middle Name J The first name of the provider, if the provider is an individual.
6 Provider First Line Business Practice Location Address 4627 CARMEL MOUNTAIN RD The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
7 Provider Business Practice Location Address City Name SAN DIEGO The city name in the location address of the provider being identified.
8 Provider Business Practice Location Address State Name CA The State code in the location of the provider being identified.
9 Provider Business Practice Location Address Postal Code 921306613 The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
10 Provider Business Practice Location Address Country Code If outside U S US The country code in the location address of the provider being identified.
11 Provider Business Practice Location Address Telephone Number 8585231842 The telephone number associated with the location address of the provider being identified.
12 Provider Enumeration Date 11/1/2012 The date the provider was assigned a unique identifier (assigned an NPI).
13 Last Update Date 11/1/2012 The date that a record was last updated or changed.
14 Provider Gender Code F The code designating the provider’s gender if the provider is a person.
15 Healthcare Provider Taxonomy Code 1 183500000X Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
16 Provider License Number 1 68120 The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
17 Provider License Number State Code 1 CA The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
18 Healthcare Provider Primary Taxonomy Switch 1 Y
19 Is Sole Proprietor N Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No

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This page was last updated on: 4/19/2015

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

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