Active NPI
Ana Park, PHARMD, RPH
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Pacoima, CA
National Provider Identifier
1427466812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 70080
- Practice address
- 13550 Paxton St
Pacoima, CA 91331-2352 - Phone
- (818) 272-2709
- Fax
- (818) 272-2706
- NPI assigned
- Jul 29, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 70080 | CA | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 70080 | CA | Primary |
Addresses
Primary practice location
13550 Paxton St
Pacoima, CA 91331-2352
Mailing address
13550 Paxton St
Pacoima, CA 91331-2352
Phone (818) 272-2709
Other practice location 1
14423 Gilmore St
Van Nuys, CA 91401-1430
Phone (818) 786-2669
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
- Credentials
- Doctor of Pharmacy, Registered Pharmacist
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kovacs Pharmacy Inc | Past | Accepting new patients | |
| Kovac's Care RX Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562371200000",
"number": "1427466812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13550 PAXTON ST",
"city": "PACOIMA",
"state": "CA",
"postal_code": "913312352",
"telephone_number": "818-272-2709",
"fax_number": "818-272-2706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13550 PAXTON ST",
"city": "PACOIMA",
"state": "CA",
"postal_code": "913312352",
"telephone_number": "818-272-2709",
"fax_number": "818-272-2706"
}
],
"practiceLocations": [
{
"address_1": "14423 Gilmore St",
"address_purpose": "LOCATION",
"city": "Van Nuys",
"state": "CA",
"postal_code": "914011430",
"country_code": "US",
"telephone_number": "818-786-2669",
"fax_number": "818-782-3100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARK",
"first_name": "ANA",
"credential": "PHARMD, RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-29",
"last_updated": "2019-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "70080",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "CA",
"license": "70080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pacoima, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.