Active NPI
A Rim Park
- Pharmacist
- Orangevale, CA
National Provider Identifier
1215301882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 71483
- Practice address
- 8861 Greenback LN
Orangevale, CA 95662-4058 - Phone
- (916) 989-4001
- NPI assigned
- Nov 19, 2015
- Last updated
- Nov 19, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | 71483 | CA | Primary |
Addresses
Primary practice location
8861 Greenback LN
Orangevale, CA 95662-4058
Mailing address
8861 Greenback LN
Orangevale, CA 95662-4058
Phone (916) 989-4001
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 |
|---|---|---|---|
| 71483 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longs Drug Store California LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447891200000",
"number": "1215301882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8861 GREENBACK LN",
"city": "ORANGEVALE",
"state": "CA",
"postal_code": "956624058",
"telephone_number": "916-989-4001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8861 GREENBACK LN",
"city": "ORANGEVALE",
"state": "CA",
"postal_code": "956624058",
"telephone_number": "916-989-4001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "A RIM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-19",
"last_updated": "2015-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "71483",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orangevale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.