Ann Park

Primary specialty

PharmacistTaxonomy code 183500000X

License

73251 Issued in CA

Practice address

8950 W Olympic Blvd Ste 103
Beverly Hills, CA 90211-3565

Phone

(310) 274-8080

NPI assigned

Dec 17, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Boulevard Pharmacy Inc

  • Clinic/Center
  • Beverly Hills, CA
  • NPI 1003331612
  NPD (past)
• Boulevard Pharmacy Inc

  dba Olympic Boulevard Pharmacy

  • Community/Retail Pharmacy
  • Beverly Hills, CA
  • NPI 1871692822
  NPD (past)

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

{
    "created_epoch": "1639699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1447919451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8950 W OLYMPIC BLVD STE 103",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113565",
            "telephone_number": "310-274-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 W OLYMPIC BLVD STE 103",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113565",
            "telephone_number": "310-274-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-17",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "73251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NA",
            "affiliation": "N",
            "address_1": "8950 W Olympic Blvd Ste 103",
            "city": "Beverly Hills",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902113565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Giselle M Paredes, COTA
• Saghi Parham, D.D.S.
• Paris Surgical Center
• Agatha L Park, M.D.
• Alexandrea Park, PSY.D.
• Aric Kihyun Park, M.D.
• Dorothy J. Park, M.D.
• Ji Won Park, PHARMD
• Michelle Park
• Samuel A Park, M.D

• Pharmacist in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.

Verify at the official NPI Registry.