Olivia Park, PHARMACIST

Primary specialty

PharmacistTaxonomy code 183500000X

License

85971 Issued in CA

Practice address

533 Coleman Ave
San Jose, CA 95110-2047

Phone

(765) 337-6502

NPI assigned

Jul 26, 2022

Sex

Female

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": "1658793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1326774928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1814 BLACKMORE CT",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951321519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 COLEMAN AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951102047",
            "telephone_number": "765-337-6502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "OLIVIA",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-26",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "85971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyung Sook Park, M.D
• Mi Ran Park, M.D.
• Misuk Park
• Nam Hee Ava Park, DDS
• Natalie Park, O.T.
• Rodney Kim Park, D.D.S.
• So Young Park, D.D.S.
• Sun Ja Park, D.C
• Tom S. Park, D.D.S.
• Uriel Park

• Pharmacist in San Jose, CA
• Providers in San Jose, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; 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.