Individual provider Active NPI

Karen Marie Park, PHARM.D.

  • Ambulatory Care Pharmacist
  • Wappingers Falls, NY
National Provider Identifier
1467560151
Registry record updated May 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Care PharmacistTaxonomy code 1835P2201X
License
049210 Issued in NY
Practice address
Castle Point Campus (Route 9D), Pharmacy (119)
VA Hudson Valley Health Care System
Wappingers Falls, NY 12590
Phone
(845) 831-2000
Fax
(845) 838-5189
NPI assigned
Aug 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Pharmacist 1835G0303X 049210 NY
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 049210 NY
Ambulatory Care Pharmacist 1835P2201X 049210 NY Primary

Addresses

Primary practice location

Castle Point Campus (Route 9D), Pharmacy (119)
VA Hudson Valley Health Care System
Wappingers Falls, NY 12590

Mailing address

70 Smith Park Hill Rd
Livingston Manor, NY 12758-5545
Phone (914) 799-1105

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

State licenses

LicenseStateTypeSpecialty
049210NYMDAmbulatory Care Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493769600000",
    "number": "1467560151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 SMITH PARK HILL RD",
            "city": "LIVINGSTON MANOR",
            "state": "NY",
            "postal_code": "127585545",
            "telephone_number": "914-799-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CASTLE POINT CAMPUS (ROUTE 9D), PHARMACY (119)",
            "address_2": "VA HUDSON VALLEY HEALTH CARE SYSTEM",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "12590",
            "telephone_number": "845-831-2000",
            "fax_number": "845-838-5189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "KAREN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2017-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "NY",
            "license": "049210",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "NY",
            "license": "049210",
            "primary": false
        },
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "NY",
            "license": "049210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wappingers Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.