Active NPI
Ji Park
- Pharmacist
- Cumberland, RI
National Provider Identifier
1821721887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH06269
- Practice address
- 2100 Highland Corporate Dr
Cumberland, RI 02864-8703 - Phone
- (800) 746-7287
- NPI assigned
- Jul 7, 2022
- 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 | RPH06269 | RI | Primary |
Addresses
Primary practice location
2100 Highland Corporate Dr
Cumberland, RI 02864-8703
Mailing address
1505 Massachusetts Ave Unit 11
Lexington, MA 02420-3842
Phone (978) 995-6508
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 |
|---|---|---|---|
| RPH06269 | RI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657152000000",
"number": "1821721887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1505 MASSACHUSETTS AVE UNIT 11",
"city": "LEXINGTON",
"state": "MA",
"postal_code": "024203842",
"telephone_number": "978-995-6508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 HIGHLAND CORPORATE DR",
"city": "CUMBERLAND",
"state": "RI",
"postal_code": "028648703",
"telephone_number": "800-746-7287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "JI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-07",
"last_updated": "2022-07-07",
"certification_date": "2022-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "RI",
"license": "RPH06269",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cumberland, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.