Active NPI
Haenim Park, PHARM. D
- Pharmacist
- Queens Village, NY
National Provider Identifier
1992138390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- I057785
- Practice address
- 21835 Hempstead Ave
Queens Village, NY 11429-1236 - Phone
- (718) 465-8046
- NPI assigned
- Aug 21, 2013
- 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 | I057785 | NY | Primary |
Addresses
Primary practice location
21835 Hempstead Ave
Queens Village, NY 11429-1236
Mailing address
21835 Hempstead Ave
Queens Village, NY 11429-1236
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 |
|---|---|---|---|
| I057785 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Rite Aid of New York 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- New York, NY
- NPI 1639288129
-
- Pharmacy
- Queens Village, NY
- NPI 1760908883
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377043200000",
"number": "1992138390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21835 HEMPSTEAD AVE",
"city": "QUEENS VILLAGE",
"state": "NY",
"postal_code": "114291236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21835 HEMPSTEAD AVE",
"city": "QUEENS VILLAGE",
"state": "NY",
"postal_code": "114291236",
"telephone_number": "718-465-8046"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "HAENIM",
"credential": "PHARM. D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-21",
"last_updated": "2013-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "I057785",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Queens Village, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.