SOHYUN PARK (NPI# 1952964579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952964579 |
| Entity Type | Individual |
| Full Name | SOHYUN PARK |
| Practice Address |
617 Benton St Omak WA 98841-9636 |
| Mailing Address |
18414 104th Ave Ne Apt 104 Bothell WA 98011-3465 |
| Practice Telephone | 5094227735 |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2019-04-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PH60896394 | WA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356624175 | Sohyun Park | Dentist | 450 Sutter St Rm 2400, San Francisco, CA 94108-4203 | 2011-09-28 |
| 1427424068 | Sohyun Park | Dentist | 188 Longwood Ave, Boston, MA 02115-5819 | 2015-08-18 |
| 1265405435 | Sohyun C Park | Internal Medicine | 1840 Amherst St., Winchester, VA 22601-2808 | 2006-02-08 |
| Street Address |
617 BENTON ST |
| City | OMAK |
| State | WA |
| Zip Code | 98841-9636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316047574 | Raul A Rodriguez Jr. | Family Medicine | 617 Benton St, Omak, WA 98841-9636 | 2006-09-25 |
| 1821620204 | Deanne L Ristau | Technician | 617 Benton St, Omak, WA 98841-9636 | 2020-02-04 |
| 1740842053 | Micheal Scott Feuerborn | Nurse Practitioner | 617 Benton St, Omak, WA 98841-9636 | 2019-07-08 |
| 1144882804 | Jo Kiester | Pharmacist | 617 Benton St, Omak, WA 98841-9636 | 2019-07-02 |
| 1790252815 | Marva Denice Mcmillan | Technician/Technologist | 617 Benton St, Omak, WA 98841-9636 | 2018-10-26 |
| 1356890206 | Michael Lee Turnington | Nurse Practitioner | 617 Benton St, Omak, WA 98841-9636 | 2016-10-03 |
| 1588907562 | Emil Jonas Navarrete | Pharmacist | 617 Benton St, Omak, WA 98841-9636 | 2013-03-28 |
| 1073870044 | Ryan Buckner | Pharmacist | 617 Benton St, Omak, WA 98841-9636 | 2012-04-16 |
| 1285958892 | Brian Clyde Sundquist | Spec/Tech, Pathology | 617 Benton St, Omak, WA 98841-9636 | 2010-03-25 |
| 1851420905 | Omak Health Station Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 617 Benton St, Omak, WA 98841 | 2007-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093210908 | Kellie Davies | Registered Nurse | 34 Valley View Dr, Omak, WA 98841 | 2018-03-24 |
| 1356860399 | In-home Care of Central Washington | In Home Supportive Care | 130 N. Main St, Ste 2, Omak, WA 98841 | 2017-09-11 |
| 1538615158 | J.r. Craig Webster D.d.s. | Preferred Provider Organization | 204 West 1st. Street, Omak, WA 98841 | 2016-09-01 |
| 1346638855 | Katie Mae Sommers | Counselor | 1007 Koala Dr, Omak, WA 98841 | 2015-01-06 |
| 1659702157 | Omak Audiology Center, LLC | Audiologist-Hearing Aid Fitter | 506 Riverside Drive, # B, Omak, WA 98841 | 2013-12-09 |
| 1265878417 | Stephen Cavender | Counselor | 1007 Koala Dr., Omak, WA 98841 | 2013-05-15 |
| 1467793497 | Kenari Breshem | Massage Therapist | 25 Ash St, Omak, WA 98841 | 2013-03-15 |
| 1710282645 | Jodie Dawn Field | Counselor | 17 N. Ash, Omak, WA 98841 | 2011-01-25 |
| 1720391659 | Providence Health & Services | Internal Medicine | 629 Jasmine St, Omak, WA 98841 | 2010-07-20 |
| 1871826453 | Stephanie Dawn Swezey | Specialist | 670 Riverside Drive, Omak, WA 98841 | 2009-09-14 |
| Find all providers in zip 98841 | ||||
| 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 |
|---|---|---|---|---|
| 1548879901 | Lois Kim | Pharmacist | 1004 Koala Dr, Omak, WA 98841-9247 | 2020-07-30 |
| 1578864799 | Wojciech Kalamon | Pharmacist | 609 Omache Dr, Omak, WA 98841-9672 | 2010-11-04 |
| 1275868499 | Dinesh R Gajjala | Pharmacist | 903 Engh Rd, Omak, WA 98841-9627 | 2009-10-06 |
| 1407090996 | Prabath Priyantha Malluwa Wadu | Pharmacist | 617 5th and Benton, Po Box C, Omak, WA 98841 | 2009-04-28 |
| 1194376038 | Tracy Thadine Zelenka | Pharmacist | 1003 Koala Dr, Omak, WA 98841-9247 | 2019-09-23 |
| 1144882804 | Jo Kiester | Pharmacist | 617 Benton St, Omak, WA 98841-9636 | 2019-07-02 |
| 1700343084 | Thomas Tho Ngo | Pharmacist | 609 Omache Dr, Omak, WA 98841-9672 | 2019-02-22 |
| 1780159244 | Emily L Morris | Pharmacist | 902 Engh Rd, Omak, WA 98841-9473 | 2018-10-10 |
| 1588144638 | April Marie Russell | Pharmacist | 609 Omache Dr, Omak, WA 98841-9672 | 2018-08-17 |
| 1083023279 | Robert Joseph Tomazic | Pharmacist | 609 Omache Dr, Omak, WA 98841-9672 | 2014-08-13 |
| Find all providers in OMAK | ||||
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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.