Active NPI
Sunuk Park, PHARM.D
- Pharmacist
- Chinle, AZ
National Provider Identifier
1609585264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2022035201
- Practice address
- U.S. 191 & Hospital Drive
Chinle, AZ 86503-8000 - Phone
- (928) 674-7001
- NPI assigned
- Nov 22, 2022
- Sex
- Male
- 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 | 2022035201 | MO | Primary |
Addresses
Primary practice location
U.S. 191 & Hospital Drive
Chinle, AZ 86503-8000
Mailing address
PO Box 844
Chinle, AZ 86503-0844
Phone (773) 699-1177
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 |
|---|---|---|---|
| 2022035201 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669075200000",
"number": "1609585264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 844",
"city": "CHINLE",
"state": "AZ",
"postal_code": "865030844",
"telephone_number": "773-699-1177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "U.S. 191 & HOSPITAL DRIVE",
"city": "CHINLE",
"state": "AZ",
"postal_code": "865038000",
"telephone_number": "928-674-7001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "SUNUK",
"credential": "PHARM.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-11-22",
"last_updated": "2022-11-22",
"certification_date": "2022-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2022035201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chinle, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.