William Park, RPH PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH033227 Issued in GA

Practice address

730 S Lewis St
Metter, GA 30439-5127

Phone

(912) 685-5170

NPI assigned

Aug 30, 2021

Last updated

Dec 22, 2022By the provider in NPPES

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

Credentials

Doctor of Pharmacy, Registered Pharmacist

State licenses

Practice roles

Locations

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.

• Walgreen Co

  dba Walgreens #12107

  • Pharmacy
  • Waynesboro, GA
  • NPI 1659528396
  NPD
• Walgreen Co

  dba Walgreens #21605

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1356019061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 S LEWIS ST",
            "city": "METTER",
            "state": "GA",
            "postal_code": "304395127",
            "telephone_number": "912-685-5170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 S LEWIS ST",
            "city": "METTER",
            "state": "GA",
            "postal_code": "304395127",
            "telephone_number": "912-685-5170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 S Liberty St",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "GA",
            "postal_code": "308301501",
            "country_code": "US",
            "telephone_number": "706-437-7977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARK",
        "first_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "RPH PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-30",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH033227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Bryan Moseley, PHARMD
• Optim Orthopedics, LLC (Optim Orthopedics)
• Orthopedic Center PC
• Kathryn Ruth Page, RN
• Elijah Colin Paradee, WHNP-BC
• Brittany McNure Pope, PHARM.D.
• Tammy Porter, PSC, LAPC, NCC
• Power of Touch Massage Inc.
• PW SNF LLC (Pleasant View Nursing Center)
• RMR III Consulting Inc

• Pharmacist in Metter, GA
• Providers in Metter, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.