Active NPI
Hyeri Park, PHARMD
- Pharmacist
- East Chicago, IN
National Provider Identifier
1598533820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26026303A
- Practice address
- 4321 Fir St
East Chicago, IN 46312-3097 - Phone
- (219) 392-7480
- NPI assigned
- Dec 15, 2023
- 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 | 26026303A | IN | Primary |
Addresses
Primary practice location
4321 Fir St
East Chicago, IN 46312-3097
Mailing address
4321 Fir St
East Chicago, IN 46312-3097
Phone (219) 392-7480
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26026303A | Other | IN | INDIANA BOARD OF PHARMACY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 26026303A | IN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702598400000",
"number": "1598533820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4321 FIR ST",
"city": "EAST CHICAGO",
"state": "IN",
"postal_code": "463123097",
"telephone_number": "219-392-7480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4321 FIR ST",
"city": "EAST CHICAGO",
"state": "IN",
"postal_code": "463123097",
"telephone_number": "219-392-7480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "HYERI",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-15",
"last_updated": "2023-12-15",
"certification_date": "2023-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26026303A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIANA BOARD OF PHARMACY",
"identifier": "26026303A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in East Chicago, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.