Individual provider Active NPI

John Park, PHARM.D.

  • Pharmacist
  • Sherman, TX
National Provider Identifier
1922660802
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
60263 Issued in TX
Practice address
1906 W US Highway 82 Ste 200
Sherman, TX 75092-6894
Phone
(903) 893-8222
NPI assigned
Jul 1, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 60263 TX Primary

Addresses

Primary practice location

1906 W US Highway 82 Ste 200
Sherman, TX 75092-6894

Mailing address

PO Box 2735
Frisco, TX 75034-0051

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

LicenseStateTypeSpecialty
60263TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Sherman Apothecary, LP CurrentSince Aug 7, 2022 Accepting new patients
Sherman Apothecary, LP CurrentSince Aug 14, 2022 Accepting new patients
Center for Family Medicine,PA PastSince May 15, 1990 Accepting new patients
Salfiti Springtown Pharmacy, LLC Past Accepting new patients

Locations

1906 W US Highway 82
Sherman, TX 75092
Phone (903) 892-8398

1906 W US Highway 82
Ste 200
Sherman, TX 75092
Phone (903) 893-8222

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1922660802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2735",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750340051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 W US HIGHWAY 82 STE 200",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750926894",
            "telephone_number": "903-893-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "JOHN",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-01",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "60263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.

Verify at the official NPI Registry.