Justin Shim, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

067266 Issued in NY

Practice address

17005 Linden Blvd
Jamaica, NY 11434-1347

Phone

(718) 262-9533

Fax

(718) 262-9744

NPI assigned

Nov 20, 2020

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• CVS Albany LLC

  • Pharmacy
  • Jamaica, NY
  • NPI 1790942746
  NPD (past)
• CVS Albany LLC

  • Pharmacy
  • Brooklyn, RI
  • NPI 1679459481
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1750984639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5844 203RD ST",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113641648",
            "telephone_number": "917-775-3995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17005 LINDEN BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114341347",
            "telephone_number": "718-262-9533",
            "fax_number": "718-262-9744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIM",
        "first_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-20",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "067266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Mark Sherman, MD
• Tenzing Ravzam Sherpa, PA-C
• Denise Laine Sherrier
• Yelena Z Sheydina, MD
• Hyun Jung Shim, MS, RD, CDN
• Julia Shimon, OTR/L
• Anzhelika R Shimunov, S.I.
• Roza Shimunov
• Tamara Shimunov, PA
• Kihun Shin

• Pharmacist in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.