Dale Park, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

67314 Issued in TX

Practice address

4715 Wesley St
Greenville, TX 75401-5647

Phone

(903) 259-5292

NPI assigned

Nov 4, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

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.

• Wal-Mart Stores Texas LLC

  • Community/Retail Pharmacy
  • Greenville, TX
  • NPI 1093109589
  NPD (past)
• Wal-Mart Stores Texas, LLC

  • Community/Retail Pharmacy
  • Melissa, TX
  • NPI 1386521797
  NPD (past)

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

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1487255501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6308 SMITHWICK DR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750703570",
            "telephone_number": "214-717-1539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4715 WESLEY ST",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754015647",
            "telephone_number": "903-259-5292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "DALE",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-04",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "67314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Padilla
• Kristen Paige Palmer, LVN
• Yash Swapnesh Parikh, DPM
• Paris Psychiatric Associates PA
• Park Haven Nursing and Rehabilitation, L.P.
• Katherine Chhor Parker, O.D.
• Riley Parker, PA-C
• Lana Ladell Parks, RN
• Patchwork Kids LLC
• Hiren D Patel, MD

• Pharmacist in Greenville, TX
• Providers in Greenville, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; 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.