Taehee Park, PHARM. D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI03180200 Issued in NJ

Practice address

260 Bergen Tpke
Little Ferry, NJ 07643-1104

Phone

(201) 870-6500

Fax

(201) 870-6023

NPI assigned

Jun 30, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

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

Locations

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.

• Little Ferry Pharmacy, LLC.

  • Pharmacy
  • Little Ferry, NJ
  • NPI 1891362372
  NPD Authorized official

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1730317520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 BERGEN TPKE",
            "city": "LITTLE FERRY",
            "state": "NJ",
            "postal_code": "076431104",
            "telephone_number": "201-870-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 BERGEN TPKE",
            "city": "LITTLE FERRY",
            "state": "NJ",
            "postal_code": "076431104",
            "telephone_number": "201-870-6500",
            "fax_number": "201-870-6023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "TAEHEE",
        "credential": "PHARM. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-30",
        "last_updated": "2021-09-07",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03180200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST",
            "identifier": "28RI03180200",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• One Adult Daycare Center Corp
• Maria Victoria Oribello, PT
• Karen Orland, RN, APN, FNP-C
• Leila Ostad-Hashemi, LCSW
• Sandra Sungju Park
• Partnerships for People, Inc.
• Partnerships for People, Inc.
• Partnerships for People, Inc.
• Partnerships for People, Inc.
• Partnerships for People, Inc.

• Pharmacist in Little Ferry, NJ
• Providers in Little Ferry, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.

Verify at the official NPI Registry.