Active NPI
Angela Park
- Pharmacist
- Louisville, KY
National Provider Identifier
1013402684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 018556
- Practice address
- 5100 Dixie Hwy
Louisville, KY 40216-1702 - Phone
- (502) 447-3347
- NPI assigned
- Jun 26, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 018556 | KY | Primary |
Addresses
Primary practice location
5100 Dixie Hwy
Louisville, KY 40216-1702
Mailing address
5100 Dixie Hwy
Louisville, KY 40216-1702
Phone (502) 447-3347
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018556 | KY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529971200000",
"number": "1013402684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5100 DIXIE HWY",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402161702",
"telephone_number": "502-447-3347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5100 DIXIE HWY",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402161702",
"telephone_number": "502-447-3347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "ANGELA",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-26",
"last_updated": "2018-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "018556",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
- Park Duvalle Community Health Center, Inc.
- Park Duvalle Community Health Center, Inc. (Russell Neighborood Health Center)
- Euisoon Park Kang, PHARMACIST
- Park Louisville, LLC
- Park Terrace Dialysis, LLC (Trilogy Dialysis - Park Terrace)
- Heyeon Park
- Rebecca Park, ATC
- Rosa Park, M.D.
- Erin Parker Redding, APRN
- Blaine H Parker, DR.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.