JO EUN PARK (NPI# 1134727795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134727795 |
| Entity Type | Individual |
| Full Name | JO EUN PARK |
| Practice Address |
1835 N Main St Roswell NM 88201-5168 |
| Mailing Address |
1600 N Sycamore Ave Apt 512 Roswell NM 88201-8947 |
| Practice Telephone | 5756240423 |
| Mailing Telephone | 6179916694 |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2020-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RP00009395 | NM | Pharmacy Service Providers |
| Street Address |
1835 N MAIN ST |
| City | ROSWELL |
| State | NM |
| Zip Code | 88201-5168 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801801709 | Walgreen Co | Pharmacy | 1835 N Main St, Roswell, NM 88201-5168 | 2006-07-29 |
| 1417575598 | Desmond Fernandes | Pharmacist | 1835 N Main St, Roswell, NM 88201-5168 | 2020-07-06 |
| 1255983326 | April Jule Eshom | Pharmacist | 1835 N Main St, Roswell, NM 88201-5168 | 2019-07-09 |
| 1437694650 | Daria Maghsoudlou | Pharmacist | 1835 N Main St, Roswell, NM 88201-5168 | 2016-12-24 |
| 1144673054 | Cheryl Vincent | Pharmacist | 1835 N Main St, Roswell, NM 88201 | 2016-07-15 |
| 1548697089 | Amenah Ahmed | Pharmacist | 1835 N Main St, Roswell, NM 88201-5168 | 2013-09-30 |
| 1588965883 | Barbara Lynn Corn | Pharmacist | 1835 N Main St, Roswell, NM 88201-5168 | 2010-11-03 |
| 1528373115 | Bobby English | Pharmacist | 1835 N Main St, Roswell, NM 88201-5168 | 2010-08-08 |
| 1750602082 | Sherry Diane Kelley | Pharmacist | 1835 N Main St, Roswell, NM 88201-5168 | 2010-06-22 |
| 1033375324 | Daniel Thomas Baker | Pharmacist | 1835 N Main St, Roswell, NM 88201-5168 | 2008-08-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902310022 | Corey A Carter | Specialist/Technologist, Other | 117 E 19th Street, Roswell, NM 88201 | 2017-11-28 |
| 1326598541 | Dove Medical Corporation | Family Medicine | 110 East 3rd Street, Roswell, NM 88201 | 2016-10-12 |
| 1841748381 | Anali Velez | Registered Nurse | 300 N Kentucky, Roswell, NM 88201 | 2016-09-13 |
| 1831647379 | Rebecca Palomino | Registered Nurse | 800 Marion Richards Rd, Roswell, NM 88201 | 2016-09-13 |
| 1215300926 | Heart Path Oriental Medicine | Clinic/Center | 810 N Union, Roswell, NM 88201 | 2015-11-03 |
| 1538564745 | Lacey Scott | Pharmacist | 1835 N. Main, Roswell, NM 88201 | 2014-10-30 |
| 1962815852 | Marium Khan | Internal Medicine | 400 Military Heights Place, Roswell, NM 88201 | 2014-06-09 |
| 1316288913 | Anaya Counseling | Community/Behavioral Health | 613 W 2nd St Ste 4, Roswell, NM 88201 | 2013-03-06 |
| 1205185386 | Rosarita Brady | Occupational Therapist | 300 N. Kentucky, Roswell, NM 88201 | 2012-09-05 |
| 1922360049 | Ashley Spinhirne Thompson | Speech-Language Pathologist | 304 N. Richardson, Roswell, NM 88201 | 2012-06-14 |
| Find all providers in zip 88201 | ||||
| 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 |
|---|---|---|---|---|
| 1932738697 | Laurie D Renshaw | Pharmacist | 410 Hamilton Park Dr, Roswell, GA 30075-5581 | 2020-04-05 |
| 1538728803 | Alan Ryan | Pharmacist | 570 Trotters Rdg, Roswell, GA 30075-2882 | 2019-06-11 |
| 1821560780 | Kyle Scherich | Pharmacist | 4500 N Main St Ste A, Roswell, NM 88201-0305 | 2018-12-17 |
| 1518487206 | Cherini Ghobrial | Pharmacist | 11910 Stradford Wood, Roswell, GA 30076-1191 | 2017-06-22 |
| 1265838262 | James C. Shumans | Pharmacist | 495 Spring Ridge Dr, Roswell, GA 30076-2680 | 2014-11-18 |
| 1538564745 | Lacey Scott | Pharmacist | 1835 N. Main, Roswell, NM 88201 | 2014-10-30 |
| 1821335878 | Christopher Chu | Pharmacist | 1425 Market Blvd, Roswell, GA 30076-6708 | 2013-01-10 |
| 1972876233 | Devyani Kambaliya | Pharmacist | 975 Riceland Ct, Roswell, GA 30075-7805 | 2012-02-17 |
| 1316224959 | Karen J Cook | Pharmacist | 4321 Lake Chimney Ct Ne, Roswell, GA 30075-3138 | 2011-11-10 |
| 1184909400 | Mervat Nabil Halim | Pharmacist | 10790 Alpharetta Hwy, Roswell, GA 30076-1425 | 2011-10-18 |
| Find all providers in ROSWELL | ||||
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| 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.