Active NPI
Sara Park
- Pharmacist
- Fort Lee, NJ
National Provider Identifier
1821338898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 055549
- Practice address
- 2352 Linwood Ave Apt 6H
Fort Lee, NJ 07024-3860 - Phone
- (201) 321-5553
- NPI assigned
- Feb 27, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | 055549 | NY | Primary |
Addresses
Primary practice location
2352 Linwood Ave Apt 6H
Fort Lee, NJ 07024-3860
Mailing address
2352 Linwood Avenue Apt 6 H
Fort Lee, NJ 07024
Phone (201) 321-5553
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 |
|---|---|---|---|
| 055549 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361923200000",
"number": "1821338898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2352 LINWOOD AVENUE APT 6 H",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "07024",
"telephone_number": "201-321-5553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2352 LINWOOD AVE APT 6H",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070243860",
"telephone_number": "201-321-5553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "SARA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-27",
"last_updated": "2013-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "055549",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Lee, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.