Active NPI
Sylvia Park
- Pharmacist
- Milton, GA
National Provider Identifier
1437497807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH023459
- Practice address
- 13800 Highway 9 N
Milton, GA 30004-4589 - Phone
- (770) 751-1625
- Fax
- (770) 751-6337
- NPI assigned
- Jan 19, 2013
- 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 | RPH023459 | GA | Primary |
Addresses
Primary practice location
13800 Highway 9 N
Milton, GA 30004-4589
Mailing address
13800 Highway 9 N
Milton, GA 30004-4589
Phone (770) 751-1625
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 |
|---|---|---|---|
| RPH023459 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358553600000",
"number": "1437497807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13800 HIGHWAY 9 N",
"city": "MILTON",
"state": "GA",
"postal_code": "300044589",
"telephone_number": "770-751-1625",
"fax_number": "770-751-6337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13800 HIGHWAY 9 N",
"city": "MILTON",
"state": "GA",
"postal_code": "300044589",
"telephone_number": "770-751-1625",
"fax_number": "770-751-6337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "SYLVIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-19",
"last_updated": "2013-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH023459",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.