Active NPI
Kyung Hyun Park, PHARM.D.
- Pharmacist
- Loma Linda, CA
National Provider Identifier
1215321070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 71726
- Practice address
- Loma Linda University School of Pharmacy
Shryock Hall
Loma Linda, CA 92350-0001 - Phone
- (909) 558-7587
- NPI assigned
- Mar 19, 2015
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 71726 | CA | Primary |
Addresses
Primary practice location
Loma Linda University School of Pharmacy
Shryock Hall
Loma Linda, CA 92350-0001
Mailing address
10979 Rincon St
Loma Linda, CA 92354-5216
Phone (818) 919-8663
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71726 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426723200000",
"number": "1215321070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10979 RINCON ST",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923545216",
"telephone_number": "818-919-8663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "LOMA LINDA UNIVERSITY SCHOOL OF PHARMACY",
"address_2": "SHRYOCK HALL",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923500001",
"telephone_number": "909-558-7587"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "KYUNG",
"middle_name": "HYUN",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-03-19",
"last_updated": "2015-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "71726",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Loma Linda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 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.