Karen Park, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

046632 Issued in NY

Practice address

336 N Broadway
Jericho, NY 11753-2031

Phone

(516) 490-5595

Fax

(516) 490-5594

NPI assigned

Nov 30, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490659200000",
    "number": "1407038433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 N BROADWAY",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117532031",
            "telephone_number": "516-490-5595",
            "fax_number": "516-490-5594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 N BROADWAY",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117532031",
            "telephone_number": "516-490-5595",
            "fax_number": "516-490-5594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "KAREN",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-30",
        "last_updated": "2017-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "046632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01804237",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Palermo Physical Therapy PLLC
• Marco Luigi Palermo, DPT
• Paramount Medical Services,P.C.
• Priscilla Pareja
• Benita S Park
• Gabrielle Pasquarelli, LPN
• Kevin Patel, PHYSICIAN ASSISTANT
• Rashmin B Patel, OD
• Paul Wright, M.D.
• Ilene Pearlman, SLP

• Pharmacist in Jericho, NY
• Providers in Jericho, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; 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.