CHONG YOP PARK (NPI# 1245861889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245861889 |
| Entity Type | Individual |
| Full Name | CHONG YOP PARK |
| Credential | RPH |
| Practice Address |
2205 Lavista Rd Ne Atlanta GA 30329-3951 |
| Practice Telephone | 4046334201 |
| Practice Fax Number | 4043154402 |
| Mailing Telephone | 4046334201 |
| Mailing Fax Number | 4043154402 |
| Enumeration Date | 2020-02-02 |
| Last Update Date | 2020-02-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH019385 | GA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831663145 | Chong Hoon Park | Acupuncturist | 12425 Cherrycreek Ln, Cerritos, CA 90703-2029 | 2019-01-20 |
| 1790785418 | Chong Shick Park | Physical Medicine & Rehabilitation | 143 E 2nd St, Erie, PA 16507-1501 | 2005-07-22 |
| 1992703409 | Chong Min Park | Orthopaedic Surgery | 24 Doctors Ln, Suite 304, Clarion, PA 16214-8568 | 2005-07-08 |
| 1346387198 | Chong H Park | Internal Medicine | 56-45 Main Street, Division of Cardiology, Flushing, NY 11355 | 2007-01-31 |
| 1457417180 | Chong H Park | Anesthesiology | 775 Bloomfield Ave, Montclair, NJ 07042-1880 | 2006-12-28 |
| 1992751770 | Chong K Park | Obstetrics & Gynecology | 300 1st Capitol Dr, Saint Charles, MO 63301-2844 | 2006-05-25 |
| 1275526477 | Chong S Park | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 575 Coal Valley Rd, Ste 504, Clairton, PA 15025-3730 | 2005-08-24 |
| Street Address |
2205 LAVISTA RD NE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30329-3951 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689699464 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 2205 Lavista Rd Ne, Atlanta, GA 30329-3951 | 2006-07-13 |
| 1548870090 | Loam Ferrer | Pharmacist | 2205 Lavista Rd Ne, Atlanta, GA 30329-3951 | 2020-08-08 |
| 1922631571 | Stephanie Anne Boyd | Pharmacist | 2205 Lavista Rd Ne, Atlanta, GA 30329-3951 | 2020-02-21 |
| 1821249681 | Satellite Medical Group, LLC | Chiropractor | 2205 Lavista Rd Ne, Suite G, Atlanta, GA 30329-3951 | 2008-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871084111 | Inner Peace Counseling Services,llc | Counselor | 2801 Bufford Highway, Suite T-10, Atlanta, GA 30329 | 2018-05-22 |
| 1912409392 | Joie De Vivre Counseling and Therapy | Counselor | 2801 Buford Highway, Ne, Atlanta, GA 30329 | 2018-03-01 |
| 1902329105 | Barbara Dunbar | Psychologist | 1777 Northeast Expressway, #175, Atlanta, GA 30329 | 2017-07-19 |
| 1114449048 | Cricket Cheyenne Gullickson | Student in an Organized Health Care Education/Training Program | 1371 Briarvista Way Ne, Atlanta, GA 30329 | 2017-07-12 |
| 1902357866 | Carla Zimmerly | Nurse Practitioner | 1711 Tullie Circle, Atlanta, GA 30329 | 2016-10-17 |
| 1316490808 | Shahzad Ghori | Student in an Organized Health Care Education/Training Program | 1727 Druid Oaks Ne, Atlanta, GA 30329 | 2016-08-01 |
| 1023467768 | Ashley Elliott | Physician Assistant | 59 Executive Park, Atlanta, GA 30329 | 2016-06-03 |
| 1285096115 | Kimberley Fox | Internal Medicine | 1600 Clifton Rd Ne, Ms A-04, Cdc, Atlanta, GA 30329 | 2016-03-21 |
| 1275991648 | Mary Patricia Joyce | Internal Medicine | 1600 Clifton Road, E-47, Centers for Disease Control and Prevention, Atlanta, GA 30329 | 2016-02-01 |
| 1346656618 | Amelia Muniz Hernandez | Pediatrics | 1841 Clifton Rd Ne # 508, Atlanta, GA 30329 | 2014-07-08 |
| Find all providers in zip 30329 | ||||
| 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 |
|---|---|---|---|---|
| 1093312464 | Gloria Rinomhota | Pharmacist | 25 Peachtree St Sw # Se, Atlanta, GA 30303-3140 | 2020-10-07 |
| 1760098404 | Lisa Ann Mcwhorter Loux | Pharmacist | 57 Executive Park S Ste 400, Atlanta, GA 30329-2249 | 2020-09-18 |
| 1073124178 | Erin Marriott | Pharmacist | 171 17th St Nw Ste 1400, Atlanta, GA 30363-1069 | 2020-08-12 |
| 1447869797 | Caitlyn Sue Elmes | Pharmacist | 756 Bellemeade Ave Nw, Atlanta, GA 30318-3104 | 2020-07-23 |
| 1700404241 | Hoang Anh Rebecca Phan | Pharmacist | 1160 Johnson Fy Rd Ne Unit 1475, Atlanta, GA 30342-2356 | 2020-07-10 |
| 1073130597 | Tri Minh Phan | Pharmacist | 755 Mount Vernon Hwy Ne Ste 450, Atlanta, GA 30328-4292 | 2020-06-30 |
| 1649894411 | Lisa Aquillano | Pharmacist | 12 Executive Park Dr Ne Ste 556, Atlanta, GA 30329-2206 | 2020-06-08 |
| 1417570565 | Raidel Redondo | Pharmacist | 1100 Hammond Dr Ste 500, Atlanta, GA 30328-8191 | 2020-05-23 |
| 1720601255 | Dawn Lieber Sasine | Pharmacist | 164 W Wieuca Rd Ne Ste 7, Atlanta, GA 30342-3231 | 2020-05-19 |
| 1821617119 | Erin Jessica Searles | Pharmacist | 424 Decatur St Se Ste 100, Atlanta, GA 30312-1848 | 2020-04-16 |
| Find all providers in ATLANTA | ||||
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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.