Active NPI
Chris Kang-Il Park, PHARMD
- Pharmacotherapy Pharmacist
- Visalia, CA
National Provider Identifier
1174992960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 71940
- Practice address
- 400 W Mineral King Ave
Visalia, CA 93291-6237 - Phone
- (559) 624-6964
- NPI assigned
- Sep 22, 2015
- Last updated
- Sep 28, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 71940 | CA | Primary |
Addresses
Primary practice location
400 W Mineral King Ave
Visalia, CA 93291-6237
Mailing address
1325 N Rose Dr
Ste 102
Placentia, CA 92870-3800
Phone (714) 203-1767
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
- Doctor of Pharmacy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506556800000",
"number": "1174992960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1325 N ROSE DR",
"address_2": "STE 102",
"city": "PLACENTIA",
"state": "CA",
"postal_code": "928703800",
"telephone_number": "714-203-1767",
"fax_number": "714-203-1812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W MINERAL KING AVE",
"city": "VISALIA",
"state": "CA",
"postal_code": "932916237",
"telephone_number": "559-624-6964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "CHRIS",
"middle_name": "KANG-IL",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-22",
"last_updated": "2017-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "CA",
"license": "71940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Visalia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.