DR. GINA PAK (NPI# 1528577939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528577939 |
| Entity Type | Individual |
| Full Name | DR. GINA PAK |
| Credential | PHARM.D |
| Practice Address |
7373 Boston Blvd Springfield VA 22153-2805 |
| Mailing Address |
2257 Journet Dr Dunn Loring VA 22027-1166 |
| Practice Telephone | 7039129062 |
| Mailing Telephone | 7034013793 |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2017-09-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | PH100002986 | DC | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 0202215959 | VA | Pharmacy Service Providers |
| Street Address |
7373 BOSTON BLVD |
| City | SPRINGFIELD |
| State | VA |
| Zip Code | 22153-2805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881704419 | Costco Wholesale Corporation | Pharmacy | 7373 Boston Blvd, Springfield, VA 22153 | 2006-08-30 |
| 1487040960 | Costco Wholesale Corporation | Hearing Aid Equipment | 7373 Boston Blvd, Springfield, VA 22153-2805 | 2015-04-10 |
| 1982098232 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 7373 Boston Blvd, Springfield, VA 22153-2805 | 2015-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134672066 | National Seating & Mobility Inc. | Durable Medical Equipment & Medical Supplies | 7420 Fullerton Rd Ste 100, Springfield, VA 22153 | 2016-07-27 |
| 1861655532 | Joseph Anthony Romeo Jr. | Registered Nurse | 8665 Morning Star Ct, Springfield, VA 22153 | 2008-07-03 |
| 1538332127 | Drs Alayssami Hamid & Assoc PC | Dentist | 6230 Rolling Rd, Ste E, Springfield, VA 22153 | 2008-04-04 |
| 1619177854 | Nahee Williams Mcdonald | Dentist | 7841 Rolling Road, Suite F, Springfield, VA 22153 | 2007-07-24 |
| 1215080627 | Lauran Harvey Thomas | Counselor | 8988 Shadowlake Way, Springfield, VA 22153 | 2007-01-19 |
| 1013080886 | Mohamed M Hassan | Chiropractor | 1417 Reservation Dr, Springfield, VA 22153 | 2006-11-17 |
| 1023030483 | John Paul Demorro Jr. | Dentist | 7841 Rolling Rd, Suite C, Springfield, VA 22153 | 2006-07-24 |
| 1669822169 | Adanech W Kidanie | Student in an Organized Health Care Education/Training Program | 6885 Brian Michael Ct, Springfield, VA 22153-1032 | 2016-06-15 |
| 1356812994 | Stacey Smith | Doula | 8711 Whitson Ct, Springfield, VA 22153-1268 | 2018-12-07 |
| 1124353792 | Susan Caulfield Wise | Physical Therapist | 7405 Calico Ct, Springfield, VA 22153-1302 | 2009-10-14 |
| Find all providers in zip 22153 | ||||
| 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 |
|---|---|---|---|---|
| 1255946299 | Vy Dang | Pharmacist | 45 Willow St Apt 510, Springfield, MA 01103-1966 | 2020-09-15 |
| 1114539756 | Logan Meredith Haley | Pharmacist | 6039 New Chapel Rd, Springfield, TN 37172-1338 | 2020-08-17 |
| 1801413349 | Tung Tran | Pharmacist | 1028 Lincoln Ave, Springfield, PA 19064-3923 | 2020-07-01 |
| 1033739453 | John Frederick Endris | Pharmacist | 505 Colbrook Dr, Springfield, IL 62702-3384 | 2020-04-27 |
| 1770103889 | Seth Nelson | Pharmacist | 1150 N 5th St, Springfield, IL 62702-3800 | 2020-04-18 |
| 1952921074 | Edward John Oldfield | Pharmacist | 3441 Smythberry Ln Apt 7, Springfield, IL 62711-8210 | 2020-04-18 |
| 1255965240 | Matthew Sherriffs | Pharmacist | 2 Medical Center Dr Ste 204, Springfield, MA 01107-1271 | 2020-02-27 |
| 1023649134 | Kendra Yociss | Pharmacist | 201 E Madison St, Springfield, IL 62702-5131 | 2020-01-28 |
| 1861049397 | Laura A Kosiorek | Pharmacist | 242 Prentice St, Springfield, MA 01104-1525 | 2019-08-20 |
| 1144880048 | Akemi Nishida | Pharmacist | 520 Ethan Ct, Springfield, OR 97477-9407 | 2019-06-13 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 22153 |
Please comment or provide details below to improve the information on DR. GINA PAK.
| 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.