Paula Park, PHARMD, PHD

Primary specialty

PharmacistTaxonomy code 183500000X

License

71630 Issued in CA

Practice address

453 13TH St Apt 219
San Diego, CA 92101-7561

Phone

(858) 255-0765

NPI assigned

Apr 19, 2016

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 Philosophy, Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461024000000",
    "number": "1396199030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "453 13TH ST APT 219",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921017561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "453 13TH ST APT 219",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921017561",
            "telephone_number": "858-255-0765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "PAULA",
        "credential": "PHARMD, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-19",
        "last_updated": "2016-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "71630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kwang Seo Park, D.D.S.
• Lydia Somi Park
• Nan Williams Park, RN
• Nicole Sinae Park
• Paul Park, PHARMD
• Peter Joonsun Park, M.D.
• Renee Yoosun Park, DDS
• Ro Jong Park, MD
• Samuel Park, M.D.
• Sara Heejung Park, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; 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.