JAMIE LEE PARK (NPI# 1033635180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033635180 |
| Entity Type | Individual |
| Full Name | JAMIE LEE PARK |
| Credential | PHARM.D. |
| Practice Address |
700 W Ironwood Dr Coeur D Alene ID 83814-2656 |
| Mailing Address |
11411 N Trafalgar St Hayden ID 83835-9134 |
| Practice Telephone | 2086255688 |
| Practice Fax Number | 2086255687 |
| Mailing Telephone | 2082159295 |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2017-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | P6063 | ID | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073502035 | Jamie Y Park | Dentist | 8622 W Golf Rd, Niles, IL 60714-5600 | 2005-10-20 |
| 1215472774 | Jamie Park | Pharmacist | 3900 W 3rd St, Los Angeles, CA 90020-2675 | 2016-12-19 |
| 1003290404 | Jamie L Park | Nurse Practitioner | 90 Shenango St, Greenville, PA 16125-2060 | 2015-07-15 |
| 1477873107 | Jamie Park | Registered Nurse | 200 Grand Ave Ste 203, Englewood, NJ 07631-4363 | 2010-06-04 |
| 1033445663 | Jamie Park | Physician Assistant | 2500 Belle Chasse Highway, Gretna, LA 70056-7127 | 2009-11-02 |
| 1194818401 | Jamie Joseph Park | Physical Therapist | 10 Crossroads Dr, Suite 208, Owings Mills, MD 21117-5458 | 2006-10-02 |
| 1578570040 | Jamie H Park | Dentist | 10680 Main St, Suite 150, Fairfax, VA 22030-3810 | 2006-08-01 |
| Street Address |
700 W IRONWOOD DR |
| City | COEUR D ALENE |
| State | ID |
| Zip Code | 83814-2656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699771451 | Ronald J Stout | Otolaryngology | 700 W Ironwood Dr, Ste 236, Coeur D Alene, ID 83814-4484 | 2005-06-24 |
| 1063944726 | Mandi Nordhagen | Pharmacist | 700 W Ironwood Dr, Suite 228, Coeur D Alene, ID 83814-2656 | 2017-03-31 |
| 1679004675 | Jamie Cervi-skinner | Pharmacist | 700 W Ironwood Dr, Suite 246, Coeur D Alene, ID 83814-2656 | 2017-03-22 |
| 1982144424 | Carissa Hober | Pharmacist | 700 W Ironwood Dr, Suite 246, Coeur D Alene, ID 83814-2656 | 2017-03-02 |
| 1861939910 | Kellie Kathryn Breaux | Nurse Practitioner | 700 W Ironwood Dr, Suite 155, Coeur D Alene, ID 83814-2656 | 2017-01-27 |
| 1902348709 | Michael Watrobka | Physician Assistant | 700 W Ironwood Dr, Suite 120e, Coeur D Alene, ID 83814-2656 | 2016-11-09 |
| 1841748530 | Elizabeth St John | Physician Assistant | 700 W Ironwood Dr, Ste 341, Coeur D Alene, ID 83814-2656 | 2016-09-12 |
| 1184076465 | Craig Allred | Audiologist | 700 W Ironwood Dr, Ste 278, Coeur D Alene, ID 83814-2656 | 2016-07-11 |
| 1962869008 | Natalie Jeane Bartell | Nurse Practitioner | 700 W Ironwood Dr, Suite 155, Coeur D Alene, ID 83814-2656 | 2016-01-20 |
| 1437553187 | Gretchen Foley | Physician Assistant | 700 W Ironwood Dr, 320, Coeur D Alene, ID 83814-2656 | 2014-10-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477162675 | Dehra Mcfaddan | Social Worker | 211 E. Coeur D'alene Ave, 102, Coeur D Alene, ID 83814 | 2020-07-24 |
| 1043838634 | Yendi Labelle | Nurse Practitioner | 1115 N Ironwood Drive, Coeur D'alene, ID 83814 | 2020-07-09 |
| 1295353217 | Cultivation, LLC | Counselor | 211 E. Coeur Dalene Ave. Ste 102, Coeur D'alene, ID 83814 | 2020-07-07 |
| 1306487517 | Northwest Integrated Health, LLP | Clinic/Center | 1250 West N. Northwood Center Ct, Suite B, Coeur D'alene, ID 83814 | 2019-09-30 |
| 1730740465 | Connor Williams | Physical Therapist | 1812 W Lakewood Dr, Ste. 100, Coeur D Alene, ID 83814 | 2019-06-24 |
| 1912480153 | Nadine M Lewis | Social Worker | 211 E. Coeur D'alene Ave., Coeur D'alene, ID 83814 | 2018-09-13 |
| 1992208631 | Orthopedic Surgery and Sports | Orthopaedic Surgery | 1812 N Lakewood Drive, Suite 100, Coeur D'alene, ID 83814 | 2018-03-08 |
| 1346758042 | Heather Marie Johnson | Counselor | 7905 Meadowlark Way, Cda, ID 83814 | 2018-01-16 |
| 1881113413 | Brevity Treatment Services | Counselor | 2201 N. Government Way Ste. L, Coeur D'alene, ID 83814 | 2017-09-14 |
| 1366969628 | Jennifer La Gina Highfield | Massage Therapist | 1104 N Ste B, Coeur D Alene, ID 83814 | 2017-08-28 |
| Find all providers in zip 83814 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821519794 | Lindsey Anderson | Pharmacist | 700 W Ironwood Dr Ste 228, Coeur D Alene, ID 83814-4473 | 2017-06-30 |
| 1144760869 | Michelle Roff | Pharmacist | 700 W Ironwood Dr Ste 246, Coeur D Alene, ID 83814-4473 | 2017-02-28 |
| 1508317710 | Mark Alderink | Pharmacist | 6046 Madellaine Dr, Coeur D Alene, ID 83815-9357 | 2016-10-23 |
| 1801340765 | Korey Kreider | Pharmacist | 2925 W Rimbaud Ave, Coeur D Alene, ID 83815-5360 | 2016-08-09 |
| 1609220391 | James Sharp | Pharmacist | 700 W Ironwood Dr Ste 159, Coeur D Alene, ID 83814-4401 | 2016-04-19 |
| 1205180452 | Carl W Knight | Pharmacist | 3951 N 19th St, Coeur D Alene, ID 83815-6339 | 2012-11-08 |
| 1861765000 | James Edward Karlstrand | Pharmacist | 2079 S Whitetail Crossing Ct, Coeur D Alene, ID 83814-8744 | 2012-02-20 |
| 1518251081 | Steven G Turney | Pharmacist | 212 W Ironwood Dr Ste D, Coeur D Alene, ID 83814-1403 | 2011-06-02 |
| 1750674917 | Jon Charles Swendig | Pharmacist | 208 W Ironwood Dr, Coeur D Alene, ID 83814-2640 | 2011-05-20 |
| 1902419963 | William Riley Devine | Pharmacist | 208 W Ironwood Dr, Coeur D Alene, ID 83814-2640 | 2020-08-28 |
| Find all providers in COEUR D ALENE | ||||
| City | COEUR D ALENE |
| Zip Code | 83814 |
Please comment or provide details below to improve the information on JAMIE LEE PARK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.