Gloria J Pak, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI03347900 Issued in NJ

Practice address

2151 Lemoine Ave
Fort Lee, NJ 07024-6041

Phone

(201) 947-6772

Fax

(201) 947-6525

NPI assigned

Sep 23, 2011

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1316736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316736000000",
    "number": "1790068930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 EUCLID RD",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 LEMOINE AVE",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246041",
            "telephone_number": "201-947-6772",
            "fax_number": "201-947-6525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAK",
        "first_name": "GLORIA",
        "middle_name": "J",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-23",
        "last_updated": "2011-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03347900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orthomd LLC
• Mark F Ortiz, P.T.A.
• Ostelsen
• Elaine Sumire Otsuka, D.M.D.
• Painlessdds PC
• Hong Sik Pak, M.D.
• Neetha Devassy Palatty, RPH
• Palisade Anesthesia, LLC
• Palisade Plastic Surgery Associates PC
• Palisade Surgery Center LLC

• Pharmacist in Fort Lee, NJ
• Providers in Fort Lee, 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 23, 2011; 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.