WON SUN PARK (NPI# 1801419171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801419171 |
| Entity Type | Individual |
| Full Name | WON SUN PARK |
| Practice Address |
317 Lake Blvd Ste B Redding CA 96003-2504 |
| Mailing Address |
1056 Burton Dr Apt B Redding CA 96003-5002 |
| Practice Telephone | 5309996099 |
| Mailing Telephone | 7147459009 |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2020-05-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 81535 | CA | Pharmacy Service Providers |
| Street Address |
317 LAKE BLVD STE B |
| City | REDDING |
| State | CA |
| Zip Code | 96003-2504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467904243 | Dusten Rogerson | Pharmacist | 317 Lake Blvd Ste B, Redding, CA 96003-2504 | 2016-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144882309 | Patricia Price | Social Worker | 2280 Benton Dr Building C, Suite A, Redding, CA 96003 | 2019-07-08 |
| 1487102745 | Jill Marie Shepherd Piercy Clark | Psychologist | 1465 Victor Ave Ste B, Redding, CA 96003 | 2016-09-15 |
| 1811344450 | Roger Milton Slagle | Social Worker | 999 Mission De Oro Dr Ste 103, Redding, CA 96003 | 2016-05-23 |
| 1265713812 | Tesha Marie Huston | Pharmacist | 975 Cypress Ave, Redding, CA 96003 | 2011-09-08 |
| 1861717605 | Western Physical Therapy Inc | Physical Therapist | 1495 Victor Ave, Suite D, Redding, CA 96003 | 2010-04-05 |
| 1013230036 | Douglas Norman Porter | Psychologist | 748 North Market St., Redding, CA 96003 | 2010-03-04 |
| 1821232877 | Express Medi-trans, Inc. | Non-emergency Medical Transport (VAN) | 2985 Innsbruck Dr, Redding, CA 96003 | 2009-04-21 |
| 1235393000 | Bridget Gabrielle Young | Physical Therapist | 2021 Benton Dr, Redding, CA 96003 | 2008-07-10 |
| 1447427406 | Terra Bella Communities | Nursing Facility/Intermediate Care Facility | 280 Riverpark Drive, Redding, CA 96003 | 2008-05-09 |
| 1588830657 | Terra Bella Communities | Intermediate Care Facility, Mentally Retarded | 237 Shadowrun Ct., Redding, CA 96003 | 2008-05-07 |
| Find all providers in zip 96003 | ||||
| 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 |
|---|---|---|---|---|
| 1558909051 | Ronan Rice | Pharmacist | 5810 Sierra Dr, Redding, CA 96003-1505 | 2019-12-15 |
| 1366005720 | Zi Yang He | Pharmacist | 275 Hilltop Dr Apt 75, Redding, CA 96003-3261 | 2019-04-20 |
| 1912462508 | Tzveta Bradley | Pharmacist | 656 Springer Dr, Redding, CA 96003-4565 | 2019-02-07 |
| 1366987828 | Shahrzad Khoobyari | Pharmacist | 2520 Webb Ct, Redding, CA 96002-1541 | 2016-12-19 |
| 1528510153 | Daniel Conklin | Pharmacist | 2880 Churn Creek, Redding, CA 96002 | 2016-10-31 |
| 1043762784 | Jeff Thomas Gerhardson | Pharmacist | 4531 Shannon Pl, Redding, CA 96001-6010 | 2016-10-28 |
| 1467904243 | Dusten Rogerson | Pharmacist | 317 Lake Blvd Ste B, Redding, CA 96003-2504 | 2016-10-27 |
| 1124475850 | Adam Wagner | Pharmacist | 2171 Hartly Cir, Redding, CA 96003-9045 | 2016-05-23 |
| 1649656075 | Jeannine Carew | Pharmacist | 591 Hilltop Dr, Apt# 6, Redding, CA 96003-3711 | 2015-08-07 |
| 1417348715 | Andrew Van Lien | Pharmacist | 3637 Eureka Way, Redding, CA 96001-0177 | 2015-02-09 |
| Find all providers in REDDING | ||||
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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.