Diana Pak, PHARM.D

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH60490565 Issued in WA

Practice address

14701 179TH Ave SE
Monroe, WA 98272-1108

Phone

(360) 794-7497

NPI assigned

Sep 9, 2014

Sex

Female

Sole proprietor

Yes

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Public Hospital District 1 of Snohomish County

  dba EvergreenHealth Monroe

  • General Acute Care Hospital
  • Monroe, WA
  • NPI 1013074061
  NPD (past)
• Public Hospital District No 1 of Snohomish County

  dba EvergreenHealth Monroe Recovery Center

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Monroe, WA
  • NPI 1770614273
  NPD (past)

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

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410220800000",
    "number": "1366843377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 646",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982720646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14701 179TH AVE SE",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982721108",
            "telephone_number": "360-794-7497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAK",
        "first_name": "DIANA",
        "credential": "PHARM.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-09",
        "last_updated": "2014-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60490565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Jean Owen, LMP
• Amber Owens, MA
• Landree Anne Owens
• Haley Jewel Packer, LMT
• Jarryd Page, DC
• April M Palmer, LAC
• Park and Ghorbanian DDS, PLLC (Sunrise Dental of Monroe)
• Derek Park, DDS
• Robert K Park, D.D.S.
• Dusayant Patel, DMD

• Pharmacist in Monroe, WA
• Providers in Monroe, WA by specialty
• Pharmacist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.