Ki Chol Park

Primary specialty

PharmacistTaxonomy code 183500000X

License

31315 Issued in NY

Practice address

2032 3Rd Ave
New York, NY 10029-2802

Phone

(212) 369-6075

Fax

(212) 369-4045

NPI assigned

Feb 10, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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": "1265760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418947200000",
    "number": "1225360654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 BLVD EAST APT 23G",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070933549",
            "telephone_number": "201-868-4286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2032 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100292802",
            "telephone_number": "212-369-6075",
            "fax_number": "212-369-4045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "KI CHOL",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-10",
        "last_updated": "2014-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "31315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karalina Elan Park, MS, L.AC.
• Katherine Elizabeth Park, DMD
• Katherine Hyunjoo Park, RPH
• Kay J Park, MD
• Kevin Park
• Ki Yun Park
• Koji Park, M.D.
• Kris Park
• Kristen Park, MD
• Kyejin Park, M.D.

• Pharmacist in New York, NY
• Providers in New York, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2014; 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.