JAE PARK (NPI# 1215488465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215488465 |
| Entity Type | Individual |
| Full Name | JAE PARK |
| Practice Address |
9202 Commercial Centre Dr Bridgeville DE 19933-3822 |
| Practice Telephone | 3023379785 |
| Mailing Telephone | 3023379785 |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2016-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 23092 | MD | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386110781 | Jae H Park | Dentist | 1637 Admiral Taussig Blvd, Norfolk, VA 23511-2803 | 2018-10-23 |
| 1720506314 | Jae Y Park | Registered Nurse | 1103 10th St Nw, Rochester, MN 55901-1756 | 2017-09-02 |
| 1861649881 | Jae Hyun Park | Acupuncturist | 3020 Wilshire Blvd Ste 222, Los Angeles, CA 90010 | 2008-08-20 |
| 1811065238 | Jae Hyun Park | Dentist | 3155 W Indian School Rd, Western Dental Orthodontic Office, Phoenix, AZ 85017-4035 | 2006-12-01 |
| 1700977543 | Jae Ho Park | Dentist | 3123 W Olympic Blvd, Los Angeles, CA 90006-2462 | 2006-09-27 |
| 1144329723 | Jae H Park | Chiropractor | 4840 Irvine Blvd, #203, Irvine, CA 92620-1962 | 2006-09-21 |
| 1780621805 | Jae O Park | Internal Medicine | 14455 Sw Allen Blvd, Suite 101, Beaverton, OR 97005-4428 | 2006-05-31 |
| 1699750182 | Jae Y Park | Pharmacist | 3307 W Pico Bl, Los Angeles, CA 90019-4530 | 2005-12-07 |
| 1285109504 | Jae Park | Acupuncturist | 320 Ward Ave Ste 205, Honolulu, HI 96814-4017 | 2018-10-12 |
| 1336649573 | Jae Hong Park | Dentist | 1400 Pelham Pkwy S, Bronx, NY 10461-1138 | 2018-02-14 |
| Street Address |
9202 COMMERCIAL CENTRE DR |
| City | BRIDGEVILLE |
| State | DE |
| Zip Code | 19933-3822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396766622 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 9202 Commercial Centre Dr, Bridgeville, DE 19933-3822 | 2006-07-21 |
| 1922519636 | Joel La'mont Copper | Pharmacist | 9202 Commercial Centre Dr, Bridgeville, DE 19933-3822 | 2017-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366446619 | Kanwaljit Singh Ahuja | Psychiatry & Neurology | 509 N Cannon St, Bridgeville, DE 19933-1005 | 2005-06-01 |
| 1063698793 | Ann M Bollinger | Registered Nurse | 48 Church St, Bridgeville, DE 19933-1034 | 2008-01-11 |
| 1700283272 | Delaware Chiro & Rehab, Inc. | Chiropractor | 100 Market St, Bridgeville, DE 19933-1127 | 2014-11-29 |
| 1821090895 | Vincent Francis Carr | Internal Medicine | 42 Amandas Teal Dr, Bridgeville, DE 19933-2406 | 2005-08-10 |
| 1740427533 | Susan J. Howlett | Speech-Language Pathologist | 32 Canvasback Cir, Bridgeville, DE 19933-2428 | 2009-01-15 |
| 1487798351 | State of Delaware | Local Education Agency (LEA) | 16359 Sussex Hwy, Bridgeville, DE 19933-2966 | 2007-02-16 |
| 1275181042 | Kelly Ann Cole | Physical Therapist | 16359 Sussex Hwy, Bridgeville, DE 19933-2966 | 2019-08-26 |
| 1740765981 | Elizabeth Hinkle | Psychologist | 16359 Sussex Hwy, Bridgeville, DE 19933-2966 | 2018-10-02 |
| 1871076547 | Jesse Miller | Psychologist | 16359 Sussex Hwy, Bridgeville, DE 19933-2966 | 2018-09-10 |
| 1831672633 | Elizabeth Wharton | Psychologist | 16359 Sussex Hwy, Bridgeville, DE 19933-2966 | 2018-09-08 |
| Find all providers in zip 19933 | ||||
| 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 |
|---|---|---|---|---|
| 1770676496 | Scott Brenden Stephens | Pharmacist | 500 Old Pond Road, Suite 506, Bridgeville, PA 15017 | 2006-10-02 |
| 1366420093 | Louis P Zangara | Pharmacist | 3239 Washington Pike, Bridgeville, PA 15017-1460 | 2006-01-03 |
| 1700870029 | Scott Francis Venetti | Pharmacist | 2605 Fox Chase Ct, Bridgeville, PA 15017-1609 | 2005-08-31 |
| 1205437779 | Kathryn Ann Kambitsis | Pharmacist | 500 Old Pond Rd Ste 406, Bridgeville, PA 15017-1272 | 2020-11-02 |
| 1003416702 | Kiersten Lynn Badzgon | Pharmacist | 500 Old Pond Rd, Bridgeville, PA 15017-1272 | 2020-10-30 |
| 1093315723 | Barbara Grden | Pharmacist | 500 Old Pond Rd, Bridgeville, PA 15017-1272 | 2020-10-30 |
| 1699375832 | Jocelyn Morelock | Pharmacist | 500 Old Pond Rd Ste 406, Bridgeville, PA 15017-1272 | 2020-10-27 |
| 1437759602 | David Wayne Voit | Pharmacist | 500 Old Pond Rd, Bridgeville, PA 15017-1272 | 2020-10-27 |
| 1003415571 | Dragana Golic | Pharmacist | 500 Old Pond Rd Ste 406, Bridgeville, PA 15017-1272 | 2020-10-25 |
| 1285233726 | Devon Pazmino | Pharmacist | 500 Old Pond Rd Ste 406, Bridgeville, PA 15017-1272 | 2020-10-24 |
| Find all providers in BRIDGEVILLE | ||||
| City | BRIDGEVILLE |
| Zip Code | 19933 |
Please comment or provide details below to improve the information on JAE 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.