Park Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

CF00002044 Issued in WA

Legal business name

PARK PHARMACY INC

Practice address

401 NE Ravenna Blvd
Seattle, WA 98115-8401

Phone

(206) 527-3010

Fax

(206) 527-2320

NPI assigned

Mar 8, 2007

Organization subpart

No

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

Authorized official

Name

Jung Il Park, RPH

Title

Owner

Phone

(206) 527-3010

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• PARK'S PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465171200000",
    "number": "1992836092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 NE RAVENNA BLVD",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981158401",
            "telephone_number": "206-527-3010",
            "fax_number": "206-527-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 NE RAVENNA BLVD",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981158401",
            "telephone_number": "206-527-3010",
            "fax_number": "206-527-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2016-06-06",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "JUNG IL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-527-3010",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "CF00002044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2108371",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6104301",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PARK'S PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marguerite T Parisi, MD
• Melissa Ann Parisi, MD, PHD
• Nelly Celine Sarah Parisot, M.D.
• Park & Hong, PLLC
• Park & Smith, PLLC
• Park Place RHF Housing
• Olivia Park-Sargent, LMFT, PMH-C
• Alexander Jungho Park, MD
• Audrey Y Park, MD,PH.D
• Bohye Park

• All providers in Seattle, WA
• Community/Retail Pharmacy in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; 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.