Active NPI
Michael Sehyun Park
- Pharmacist
- Ontario, CA
National Provider Identifier
1902393390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 73131
- Practice address
- 2920 Inland Empire Blvd Ste 112
Ontario, CA 91764-6581 - Phone
- (909) 291-3800
- NPI assigned
- Apr 20, 2018
- Sex
- Male
- 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 | 73131 | CA | Primary |
Addresses
Primary practice location
2920 Inland Empire Blvd Ste 112
Ontario, CA 91764-6581
Mailing address
20626 Crestline Dr
Diamond Bar, CA 91765-4710
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JMC Pharmacy, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Retail Pharmacy
- Riverside, CA
- NPI 1023493244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524182400000",
"number": "1902393390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20626 CRESTLINE DR",
"city": "DIAMOND BAR",
"state": "CA",
"postal_code": "917654710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2920 INLAND EMPIRE BLVD STE 112",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917646581",
"telephone_number": "909-291-3800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "MICHAEL",
"middle_name": "SEHYUN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-20",
"last_updated": "2018-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "73131",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ontario, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.