JESSICA PARK (NPI# 1285010603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285010603 |
| Entity Type | Individual |
| Full Name | JESSICA PARK |
| Credential | PHARMD |
| Practice Address |
6432 Losee Rd North Las Vegas NV 89086-0100 |
| Practice Telephone | 7023994776 |
| Mailing Telephone | 7023994776 |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2020-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 19063 | NV | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720481617 | Jessica Jin Hee Park | Pharmacist | 12105 Falcon Crest Way, Porter Ranch, CA 91326-3896 | 2014-10-06 |
| 1942808837 | Jessica Elizabeth Park | Counselor | 3402 Washington Rd Ste 304, Mc Murray, PA 15317-2964 | 2020-10-13 |
| 1902422488 | Jessica Park | Social Worker | 140 N Frontage Rd, Mansfield Center, CT 06250-1648 | 2020-06-22 |
| 1184244113 | Jessica Hyunji Park | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se, Mmc 284, Minneapolis, MN 55455 | 2020-04-20 |
| 1790258184 | Jessica Park | Behavior Technician | 3443 Lilly Rd Ne Ste B, Olympia, WA 98506-3091 | 2019-01-08 |
| 1235620428 | Jessica Erin Park | Registered Nurse | 132 Abigail Lane, Port Matilda, PA 16870-7153 | 2018-05-23 |
| 1487197885 | Jessica Park | Optometrist | 7700 W Arrowhead Towne Ctr, Suite 1136, Glendale, AZ 85308-8616 | 2016-12-02 |
| 1033581905 | Jessica Park | Pharmacist | 1833 N Milpitas Blvd, Milpitas, CA 95035-2734 | 2015-10-30 |
| 1750676292 | Jessica L. Park | Pharmacist | 5717 Ne 138th Ave, Portland, OR 97230-3409 | 2011-06-13 |
| 1851568380 | Jessica G. Park | Physician Assistant | 1600 W Avenue J, Lancaster, CA 93534-2814 | 2008-05-14 |
| Street Address |
6432 LOSEE RD |
| City | NORTH LAS VEGAS |
| State | NV |
| Zip Code | 89086-0100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356961916 | Arianna Gardea | Technician | 1936 Bluff Knoll Ct, Las Vegas, NV 89086 | 2020-04-23 |
| 1891285078 | Rachelle Joy Lim | Nurse Practitioner | Va Southern Nevada, 6900 Pecos Rd, North Las Vegas, NV 89086 | 2018-05-14 |
| 1548767759 | Salena Z. Thong | Optometrist | 6900 N Pecos Rd # 123, North Las Vegas, NV 89086 | 2018-04-12 |
| 1538564372 | Anne Croker | Behavioral Analyst | 6729 Kyle Stewart Ct, North Las Vegas, NV 89086 | 2014-10-22 |
| 1730591389 | Don Pablo | Psychiatric Unit | 6900 N.pecos Rd, N.las Vegas, NV 89086 | 2014-05-29 |
| 1548556897 | Sophie Kao Chwa | Internal Medicine | 6900 N.pecos Road, Las Vegas, NV 89086 | 2011-06-24 |
| 1124258736 | Hyunseok Charlie Chi | Dentist | 640 E Deer Springs Way Ste 180, North Las Vegas, NV 89086 | 2009-07-16 |
| 1558496901 | Kelly Clair Lord | Dietitian, Registered | 6900 North Pecos Dr, North Las Vegas, NV 89086 | 2007-02-23 |
| 1861554883 | Elaine Marie Krows | Social Worker | 6900 North Pecos Road (122-crrc), Las Vegas, NV 89086 | 2006-12-15 |
| 1730257783 | Marile Hoffman | Internal Medicine | 6900 N Pecos Road Attn: Primary Care Servce, North Las Vegas, NV 89086 | 2006-11-30 |
| Find all providers in zip 89086 | ||||
| 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 |
|---|---|---|---|---|
| 1801416250 | Achille Tiam | Pharmacist | 4090 W Craig Rd, North Las Vegas, NV 89032-2757 | 2020-04-24 |
| 1699261073 | Shih Huei Bia | Pharmacist | 3028 Old Yankee Ave, North Las Vegas, NV 89031-6306 | 2018-07-09 |
| 1487027934 | Thanh Le | Pharmacist | 2042 Cardigan Ave, North Las Vegas, NV 89032-0805 | 2015-11-05 |
| 1750700530 | Alyssia Jaume | Pharmacist | 6900 Pecos Rd # 119, North Las Vegas, NV 89086-4400 | 2014-04-09 |
| 1194149914 | Nicola F Abo | Pharmacist | 4720 Cloudy Morning St, North Las Vegas, NV 89031-4013 | 2014-02-13 |
| 1346526639 | Donald Joseph Jirousek | Pharmacist | 2384 Yellow Bird Ct, North Las Vegas, NV 89084-3762 | 2011-10-31 |
| 1518249408 | Christian Clarence Agyei | Pharmacist | 6632 Arrow Hill St, North Las Vegas, NV 89084-2082 | 2011-09-15 |
| 1962781633 | Robenson Apibo-tango | Pharmacist | 4090 W Craig Rd Ste 101, North Las Vegas, NV 89032-2758 | 2011-08-11 |
| 1801182118 | Hang Truong | Pharmacist | 2189 W. Craig Road, North Las Vegas, NV 89032-3019 | 2011-06-24 |
| 1427367481 | Naniko Dionne Larry | Pharmacist | 4051 Cathedral Falls Ave, North Las Vegas, NV 89085-4469 | 2010-09-24 |
| Find all providers in NORTH LAS VEGAS | ||||
| City | NORTH LAS VEGAS |
| Zip Code | 89086 |
Please comment or provide details below to improve the information on JESSICA 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.