Austin G Park, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

0013315 Issued in OR

Practice address

890 E Welsh Rd
Maple Glen, PA 19002-2931

Phone

(215) 628-6374

NPI assigned

Oct 8, 2012

Sex

Male

Sole proprietor

No

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

Doctor of Pharmacy

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.

• Pennsylvania CVS Pharmacy LLC

  • Pharmacy
  • Maple Glen, PA
  • NPI 1992809776
  NPD (past)
• Pennsylvania CVS Pharmacy, L.L.C.

  • Pharmacy
  • West Chester, PA
  • NPI 1639063571
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Eugene, OR
  • NPI 1417105891
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1349654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605916800000",
    "number": "1629320114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 E WELSH RD",
            "city": "MAPLE GLEN",
            "state": "PA",
            "postal_code": "190022931",
            "telephone_number": "215-628-6374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 E WELSH RD",
            "city": "MAPLE GLEN",
            "state": "PA",
            "postal_code": "190022931",
            "telephone_number": "215-628-6374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "AUSTIN",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-08",
        "last_updated": "2020-11-21",
        "certification_date": "2020-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "0013315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean Marie Mackinlay, COTA/L
• Maple Glen Childrens Dentistry, P.C.
• Suzanne Patricia McCartney, CRNA
• William Read McElroy, RPH
• Noblecare MD Home Health LLC
• Pennsylvania CVS Pharmacy LLC
• Primary Care Group, PC
• Rachel Lewin, DDS, LLC
• Ann Dewees Repplier, PHD
• Richard a. Schwartz LLC

• Pharmacist in Maple Glen, PA
• Providers in Maple Glen, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.