TAE PARK (NPI# 1275015364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275015364 |
| Entity Type | Individual |
| Full Name | TAE PARK |
| Credential | PHARMD |
| Practice Address |
1640 Hopkins Rd Williamsville NY 14221-1752 |
| Mailing Address |
115 Little Robin Rd Amherst NY 14228-1124 |
| Practice Telephone | 7165680075 |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2018-09-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 064578 | NY | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710273156 | Tae Sook Park | Acupuncturist | 903 S. Crenshaw Blvd, 302, Los Angeles, CA 90019 | 2011-06-23 |
| 1790870996 | Tae H Park | Dentist | 1875 E Alluvial Ave, Suite 102, Fresno, CA 93720-3856 | 2006-10-04 |
| 1336230259 | Tae K Park | Internal Medicine | 724 8th Ave, Brooklyn, NY 11215-4204 | 2006-09-27 |
| 1376560805 | Tae Sung Park | Neurological Surgery | 1 Childrens Pl Fl 1, 1st Fl, Saint Louis, MO 63110-1002 | 2006-07-17 |
| 1346297660 | Tae J. Park | Internal Medicine | 512 W Rosedale St, Fort Worth, TX 76104-4619 | 2006-05-30 |
| 1538133020 | Tae Won Park | Psychiatry & Neurology | 1547 S Wayne Rd, Westland, MI 48186 | 2006-02-14 |
| 1669751772 | Tae E Park | Pharmacist | 230 Park Ave, M-sp1-01, Florham Park, NJ 07901 | 2011-08-05 |
| 1093940249 | Tae Keun Park | Emergency Medicine | 300 Community Dr, Department of Emergency Medicine, Manhasset, NY 11030-3816 | 2009-05-18 |
| 1043308984 | Tae Park | Pharmacist | 1450 Chapel St, Pharmacy Department, New Haven, CT 06511-4405 | 2006-10-10 |
| 1932141942 | Tae Park | Radiology | University Hospital L2, Stony Brook, NY 11794-0001 | 2006-06-12 |
| Street Address |
1640 HOPKINS RD |
| City | WILLIAMSVILLE |
| State | NY |
| Zip Code | 14221-1752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861674202 | Jon Kraft Vorreuter Jr. | Pharmacist | 1640 Hopkins Rd, Williamsville, NY 14221-1752 | 2007-11-27 |
| 1396229209 | Olivia Delphine Dioguardi | Pharmacist | 1640 Hopkins Rd, Williamsville, NY 14221-1752 | 2018-09-18 |
| 1114430212 | Jason Morgan | Pharmacist | 1640 Hopkins Rd, Williamsville, NY 14221-1752 | 2017-11-10 |
| 1922320571 | Evangelia Zoe Randall | Pharmacist | 1640 Hopkins Rd, Williamsville, NY 14221-1752 | 2010-02-24 |
| 1588847123 | Rose Marie George | Pharmacist | 1640 Hopkins Rd, Williamsville, NY 14221-1752 | 2007-12-05 |
| 1821270117 | Jason Alan Folck | Pharmacist | 1640 Hopkins Rd, Williamsville, NY 14221-1752 | 2007-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447552 | Kuldesh Singh Ubhi | Student in an Organized Health Care Education/Training Program | 850 Hoplins Road, Williamsville, NY 14221 | 2020-11-04 |
| 1992304968 | Nicholas Robinson | Nurse Practitioner | 295 Essjay, Williamsville, NY 14221 | 2020-10-21 |
| 1457961104 | Maria Fagant | Licensed Practical Nurse | 2550 Wehrle Drive Suite 1, Williamsville, NY 14221 | 2020-08-07 |
| 1073136362 | Nicole Marie Mauro | Licensed Practical Nurse | 2550 Wehrle Drive, Williamsville, NY 14221 | 2020-05-21 |
| 1982258422 | Schenk Primary Care Medicine, Pllc | Clinic/Center | 2350 Maple Road Suite 100, Amherst, NY 14221 | 2019-08-01 |
| 1669031365 | Anh Thi Nguyet Phan | Student in an Organized Health Care Education/Training Program | 850 Hopkins Rd., Williamsville, NY 14221 | 2019-06-07 |
| 1801453394 | Buffalo Medical Group, PC | Clinic/Center | 325 Essjay, Williamsville, NY 14221 | 2019-05-21 |
| 1265097265 | Christine Marie Wolniewicz | Dietitian, Registered | 507 Maple Rd., Williamsville, NY 14221 | 2019-05-06 |
| 1750844957 | Myles S Faith | Psychologist | 190 Rollingwood Street, Williamsville, NY 14221 | 2019-04-13 |
| 1902376536 | Shane Michael Stadtmueller | Chiropractor | 5820 Main St. Suite 201, Williamsville, NY 14221 | 2018-11-27 |
| Find all providers in zip 14221 | ||||
| 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 |
|---|---|---|---|---|
| 1013568831 | Brittany Marie Len | Pharmacist | 777 International Dr, Williamsville, NY 14221-5728 | 2019-09-23 |
| 1073161295 | Brittany Anne Banks | Pharmacist | 285 Scamridge Curv Apt E1, Williamsville, NY 14221-5214 | 2019-08-30 |
| 1932641222 | Walei-el-din Adham El-sarraf | Pharmacist | Suite 8-329, 5651 Main Street, Williamsville, NY 14221 | 2016-11-17 |
| 1760890214 | Jordan Marie Boardman | Pharmacist | 142 N Long St, Williamsville, NY 14221-5314 | 2014-07-29 |
| 1801238456 | Ellen Arutunian | Pharmacist | 50 Arielle Ct Apt E, Williamsville, NY 14221-1951 | 2013-07-24 |
| 1427302033 | Ashley Toale | Pharmacist | 43 Linwood Ave, Upper, Williamsville, NY 14221-6501 | 2012-11-05 |
| 1881963445 | August Gannon Vanopdorp | Pharmacist | 1540 Maple Road, Williamsville, NY 14221 | 2011-12-27 |
| 1255663738 | Ellen Brody Kayton | Pharmacist | 355 Sprucewood Ter, Williamsville, NY 14221-3937 | 2010-02-08 |
| 1134359144 | Anthony Joseph Altieri | Pharmacist | 144 Belvoir Rd, Williamsville, NY 14221 | 2009-07-24 |
| 1366610560 | Jack Brian Osborne | Pharmacist | 73 Mapleleaf Dr, Williamsville, NY 14221-2713 | 2008-02-11 |
| Find all providers in WILLIAMSVILLE | ||||
| City | WILLIAMSVILLE |
| Zip Code | 14221 |
Please comment or provide details below to improve the information on TAE 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.