Active NPI
Jeannie Josephin Paik, PHARMD
- Pharmacist
- Sparks, NV
National Provider Identifier
1629730700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 21076
- Practice address
- 5200 S Los Altos Pkwy Apt 167
Sparks, NV 89436-7680 - Phone
- (919) 601-1191
- NPI assigned
- Oct 6, 2021
- 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 | 21076 | NV | Primary |
Addresses
Primary practice location
5200 S Los Altos Pkwy Apt 167
Sparks, NV 89436-7680
Mailing address
5200 S Los Altos Pkwy Apt 167
Sparks, NV 89436-7680
Phone (919) 601-1191
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 |
|---|---|---|---|
| 21076 | NV | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633478400000",
"number": "1629730700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5200 S LOS ALTOS PKWY APT 167",
"city": "SPARKS",
"state": "NV",
"postal_code": "894367680",
"telephone_number": "919-601-1191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5200 S LOS ALTOS PKWY APT 167",
"city": "SPARKS",
"state": "NV",
"postal_code": "894367680",
"telephone_number": "919-601-1191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAIK",
"first_name": "JEANNIE",
"middle_name": "JOSEPHIN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-06",
"last_updated": "2021-10-06",
"certification_date": "2021-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "21076",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sparks, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.