JESSICA JIN HEE PARK (NPI# 1720481617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720481617 |
| Entity Type | Individual |
| Full Name | JESSICA JIN HEE PARK |
| Credential | PHARM.D. |
| Practice Address |
12105 Falcon Crest Way Porter Ranch CA 91326-3896 |
| Practice Telephone | 8187309978 |
| Mailing Telephone | 8187309978 |
| Enumeration Date | 2014-10-06 |
| Last Update Date | 2014-10-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 71655 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1285010603 | Jessica Park | Pharmacist | 6432 Losee Rd, North Las Vegas, NV 89086-0100 | 2015-08-07 |
| 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 |
12105 FALCON CREST WAY |
| City | PORTER RANCH |
| State | CA |
| Zip Code | 91326-3896 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386172989 | Carrie Jain | Speech-Language Pathologist | 20341 Livorno Way, Porter Ranch, CA 91326 | 2017-05-25 |
| 1932583143 | Karyn L Delichte | Student in an Organized Health Care Education/Training Program | 20280 Sorrento Lane, Unit 203, Porter Ranch, CA 91326 | 2015-07-17 |
| 1104239995 | Fadia Zaky Shehata | Anesthesiology | 19012 Vist Grande Wy, Porterranch, CA 91326 | 2014-06-09 |
| 1992058291 | Beverly Hills Anesthesia Group, LLC | Anesthesiology | 11177 Tampa Ave, Suite B, Northridge, CA 91326 | 2012-10-24 |
| 1922386416 | Estela Hauser | Physician Assistant | 19950 Rinaldi Street, Suite 100, Northridge, CA 91326 | 2011-08-01 |
| 1528351459 | Alina Katsman | Family Medicine | 19950 Rinaldi St., Ste 300, Porter Ranch, CA 91326 | 2011-05-25 |
| 1073811899 | Terry M. Mcelroy Inc. | Nurse Anesthetist, Certified Registered | 11931 Eddleston Dr., Northridge, CA 91326 | 2011-03-02 |
| 1265664304 | Karine Yeghoyan | Internal Medicine | 11200 Corbin Street, 200, Porter Ranch, CA 91326 | 2009-08-21 |
| 1609003276 | Pacific Pharmacy Group | Pharmacy | 19550 Rinaldi Street, Suite 102, Northridge, CA 91326 | 2009-06-22 |
| 1558505321 | David Dae-young Kim | Internal Medicine | 19950 Rinaldi St, Suite 310, Port Ranch, CA 91326 | 2009-04-24 |
| Find all providers in zip 91326 | ||||
| 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 |
|---|---|---|---|---|
| 1467902080 | Lilian Allahverdian | Pharmacist | 20202 Pienza Ln, Porter Ranch, CA 91326-4242 | 2016-10-06 |
| 1255798195 | Sanaa Saquib | Pharmacist | 19406 Hiawatha St, Porter Ranch, CA 91326-2933 | 2016-01-22 |
| 1871965749 | Annie Song | Pharmacist | 20000 Rinaldi St, Porter Ranch, CA 91326-4900 | 2015-10-30 |
| 1932514536 | Magdy M Zouen | Pharmacist | 18764 Dylan St, Porter Ranch, CA 91326-2158 | 2014-06-23 |
| 1841612231 | William Guss | Pharmacist | 20775 Lugano Way, Porter Ranch, CA 91326-4307 | 2014-01-20 |
| 1144566886 | Brandan Lombardo | Pharmacist | 20315 Via Sansovino, Porter Ranch, CA 91326-4410 | 2012-12-28 |
| 1699044875 | Niramol Kitsawadi | Pharmacist | 11833 Thunderbird Ave, Porter Ranch, CA 91326-1451 | 2011-12-18 |
| 1306115696 | Jeffrey Steven Barron | Pharmacist | 10822 Chimineas Ave, Porter Ranch, CA 91326-3263 | 2011-12-15 |
| 1528378536 | Dikran Parsekyan | Pharmacist | 20517 Bergamo Way, Porter Ranch, CA 91326-4151 | 2010-10-12 |
| 1902093552 | Philip William Banks | Pharmacist | 11167 Tampa Ave, Porter Ranch, CA 91326-2254 | 2007-09-27 |
| Find all providers in PORTER RANCH | ||||
| City | PORTER RANCH |
| Zip Code | 91326 |
Please comment or provide details below to improve the information on JESSICA JIN HEE 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.