Active NPI
Jane S Park
- Pharmacist
- Thornwood, NY
National Provider Identifier
1700211893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 058452
- Practice address
- 35 Kensico Rd
Walgreens
Thornwood, NY 10594-1143 - Phone
- (914) 747-0239
- NPI assigned
- Sep 7, 2013
- 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 | 058452 | NY | Primary |
Addresses
Primary practice location
35 Kensico Rd
Walgreens
Thornwood, NY 10594-1143
Mailing address
35 Kensico Rd
Walgreens
Thornwood, NY 10594-1143
Phone (914) 747-0239
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 058452 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462147200000",
"number": "1700211893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 KENSICO RD",
"address_2": "WALGREENS",
"city": "THORNWOOD",
"state": "NY",
"postal_code": "105941143",
"telephone_number": "914-747-0239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 KENSICO RD",
"address_2": "WALGREENS",
"city": "THORNWOOD",
"state": "NY",
"postal_code": "105941143",
"telephone_number": "914-747-0239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "JANE",
"middle_name": "S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-07",
"last_updated": "2016-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "058452",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Thornwood, NY
- Thomas Gabriel Newman Jr., M.D.
- Madison Elizabeth Olsen, PSYD
- Omnia Mental Health Counseling PLLC
- Optical Illusions, Inc.
- Optum Medical Care, P.C.
- Joy Pellegrino
- Pleasantville Ambulance Corps, Inc
- Vito Anthony Racanelli, D.D.S.
- Brianna Michelle Ragusa, M.S. CCC-SLP, TSSLD
- Joann Raguso, M.A. CCC-SLP, TSHH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.