Active NPI
Hayan Park, PHARMD
- Pharmacist
- Austin, TX
National Provider Identifier
1831906106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 75142
- Practice address
- 11300 N Lamar Blvd
Austin, TX 78753-2665 - Phone
- (512) 835-6751
- NPI assigned
- Dec 11, 2024
- Last updated
- Dec 11, 2024
- 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 | 75142 | TX | Primary |
Addresses
Primary practice location
11300 N Lamar Blvd
Austin, TX 78753-2665
Mailing address
13535 Lyndhurst St Apt 9202
Austin, TX 78717-0092
Phone (214) 960-8895
Other practice location 1
301 Chris Kelley Blvd
Hutto, TX 78634-5088
Phone (512) 846-1003
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75142 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Pharmacy Inc | Past | Accepting new patients | |
| CVS Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733875200000",
"number": "1831906106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13535 LYNDHURST ST APT 9202",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787170092",
"telephone_number": "214-960-8895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11300 N LAMAR BLVD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787532665",
"telephone_number": "512-835-6751"
}
],
"practiceLocations": [
{
"address_1": "301 Chris Kelley Blvd",
"address_purpose": "LOCATION",
"city": "Hutto",
"state": "TX",
"postal_code": "786345088",
"country_code": "US",
"telephone_number": "512-846-1003",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARK",
"first_name": "HAYAN",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-11",
"last_updated": "2024-12-11",
"certification_date": "2024-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "75142",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.