Active NPI
Insook Park
- Pharmacist
- Bronx, NY
National Provider Identifier
1578845368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 038468
- Practice address
- 625 E Fordham Rd
Bronx, NY 10458-5049 - Phone
- (718) 584-6600
- NPI assigned
- Sep 16, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 038468 | NY | Primary |
Addresses
Primary practice location
625 E Fordham Rd
Bronx, NY 10458-5049
Mailing address
144 Engle St
Tenafly, NJ 07670-2704
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316131200000",
"number": "1578845368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 ENGLE ST",
"city": "TENAFLY",
"state": "NJ",
"postal_code": "076702704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 E FORDHAM RD",
"city": "BRONX",
"state": "NY",
"postal_code": "104585049",
"telephone_number": "718-584-6600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "INSOOK",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-16",
"last_updated": "2011-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "038468",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.