Aesuk Jessica Kim, PHARMACIST

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202206728 Issued in VA

Practice address

5581 Merchants View SQ
Haymarket, VA 20169-5439

Phone

(571) 248-4551

NPI assigned

Nov 5, 2020

Last updated

Nov 5, 2020By the provider in NPPES

Sex

Female

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Giant of Maryland LLC

  dba Giant Pharmacy #790

  • Community/Retail Pharmacy
  • Haymarket, VA
  • NPI 1013026640
  NPD (past)
• Giant of Maryland LLC

  dba Giant Pharmacy

  • Community/Retail Pharmacy
  • Parkville, MD
  • NPI 1639938020
  NPD (past)

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

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1942801089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5581 MERCHANTS VIEW SQ",
            "city": "HAYMARKET",
            "state": "VA",
            "postal_code": "201695439",
            "telephone_number": "571-248-4551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5581 MERCHANTS VIEW SQ",
            "city": "HAYMARKET",
            "state": "VA",
            "postal_code": "201695439",
            "telephone_number": "571-248-4551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "AESUK",
        "middle_name": "JESSICA",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-05",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202206728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Bradley Karns, DMD
• Renu Kaur, LCSW
• Stanley F Kayes, DDS
• James Kennedy, D.C.
• Muhammad Dilawar Khan
• Christopher Donghyun Kim, MD
• Ryan Kim, DDS
• Laura Koniver, M.D.
• Scott Koo
• Ebenezer Andy Korsinah

• Pharmacist in Haymarket, VA
• Providers in Haymarket, VA by specialty
• Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.