Hansol J Park

Primary specialty

PharmacistTaxonomy code 183500000X

License

PR12570 Issued in ME

Practice address

60 Longview Dr
Bangor, ME 04401-3629

Phone

(207) 945-9977

NPI assigned

Dec 8, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1354924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455580800000",
    "number": "1184969727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 LONGVIEW DR",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 LONGVIEW DR",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013629",
            "telephone_number": "207-945-9977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "HANSOL",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-08",
        "last_updated": "2016-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ME",
            "license": "PR12570",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH236183",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Adam Papsadora, PHARMD
• Kendra Marie Paradis, DO
• Michelle S Paradis, LCSW
• Maurice Pare, DO
• Kayla Ann Parent, RDH
• Carolyn A Parker, LCPC, LADC
• Reba Anne Parla, MSW-CC
• Ann J Parsons, FNP
• Christopher A Parsons, LCSW
• George N Partal, MD

• Pharmacist in Bangor, ME
• Providers in Bangor, ME by specialty
• Pharmacist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; 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.