Active NPI
Shinhee Park, PHARMACIST
- Pharmacist
- Woodinville, WA
National Provider Identifier
1376215855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH61189201
- Practice address
- 24008 Snohomish Woodinville Rd
Woodinville, WA 98072-9743 - Phone
- (425) 806-7728
- NPI assigned
- Oct 2, 2021
- Sex
- Female
- 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 | PH61189201 | WA | Primary |
Addresses
Primary practice location
24008 Snohomish Woodinville Rd
Woodinville, WA 98072-9743
Mailing address
75 102ND Ave NE Apt 425
Bellevue, WA 98004-5642
Phone (201) 290-1198
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH61189201 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633132800000",
"number": "1376215855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 102ND AVE NE APT 425",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980045642",
"telephone_number": "201-290-1198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24008 SNOHOMISH WOODINVILLE RD",
"city": "WOODINVILLE",
"state": "WA",
"postal_code": "980729743",
"telephone_number": "425-806-7728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "SHINHEE",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-02",
"last_updated": "2021-10-02",
"certification_date": "2021-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH61189201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodinville, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.