Active NPI
Kathy Park, RPH, MS
- Pharmacist
- New Hyde Park, NY
National Provider Identifier
1144309477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 34874
- Practice address
- 27111 76TH Ave
New Hyde Park, NY 11040-1436 - Phone
- (718) 289-2270
- Fax
- (718) 289-2274
- NPI assigned
- Nov 6, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 34874 | NY | Primary |
| Geriatric Pharmacist | 1835G0303X | 34874 | NY |
Addresses
Primary practice location
27111 76TH Ave
New Hyde Park, NY 11040-1436
Mailing address
15 Linda Rd
Port Washington, NY 11050-2816
Phone (516) 944-7888
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
- Credentials
- Master of Science, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34874 | NY | MD | Geriatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1144309477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 LINDA RD",
"city": "PORT WASHINGTON",
"state": "NY",
"postal_code": "110502816",
"telephone_number": "516-944-7888",
"fax_number": "718-289-2274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27111 76TH AVE",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110401436",
"telephone_number": "718-289-2270",
"fax_number": "718-289-2274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "KATHY",
"name_prefix": "Mrs.",
"credential": "RPH, MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-06",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "34874",
"primary": true
},
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "NY",
"license": "34874",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Hyde Park, NY
- Park One Dental P.C.
- Chang J Park, MD
- Ji Young Park, NP
- John Joon Kyu Park, M.D.
- Joo-Eun Samuel Park, MD
- Kwanyong Park
- Won Park, MD
- Parker Jewish Institute for Health Care and Rehabilitation
- Parker Jewish Institute for Health Care and Rehabilitation
- Parker Jewish Institute for Health Care and Rehabilitation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.