DR. ALEX PARK (NPI# 1184159097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184159097 |
Entity Type | Individual |
Full Name | DR. ALEX PARK |
Credential | PHARM.D |
Practice Address |
2323 W Front St Tyler TX 75702-7704 |
Practice Telephone | 9035953100 |
Practice Fax Number | 9035953394 |
Mailing Telephone | 9035953100 |
Mailing Fax Number | 9035953394 |
Enumeration Date | 2017-04-28 |
Last Update Date | 2017-04-28 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | 41896 | TX | Pharmacy Service Providers |
N | 183500000X | Pharmacist | 52097 | CA | Pharmacy Service Providers |
N | 183500000X | Pharmacist | 11275 | OK | Pharmacy Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699302752 | Alex Junwoo Park | Student in an Organized Health Care Education/Training Program | 1740 W Taylor St, Chicago, IL 60612-7232 | 2020-03-26 |
1326571373 | Alex Park | Family Medicine | 602 E Nob Hill Blvd, Yakima, WA 98901-3534 | 2017-04-06 |
1073964797 | Alex Sungwook Park | Pharmacist | 2021 Nw 185th Ave, Hillsboro, OR 97124-7073 | 2016-06-23 |
Street Address |
2323 W FRONT ST |
City | TYLER |
State | TX |
Zip Code | 75702-7704 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619967569 | Jan Lorenz | Nurse Practitioner | 2323 W Front St, Tyler, TX 75702-7704 | 2005-10-24 |
1982240776 | Pamela Summers | Nurse Practitioner | 2323 W Front St, Tyler, TX 75702-7747 | 2019-11-27 |
1154833713 | Cieja Chapman | Nurse Practitioner | 2323 W Front St, Tyler, TX 75702-7704 | 2017-11-03 |
1548706815 | Mollie Eaton | Behavioral Analyst | 2323 W Front St, Tyler, TX 75702-7704 | 2017-01-11 |
1538604715 | Andrews Center -pinkerton | Social Worker | 2323 W Front St, Tyler, TX 75702-7704 | 2016-12-27 |
1609310150 | Rachel Massey | Behavioral Analyst | 2323 W Front St, Tyler, TX 75702-7704 | 2016-12-16 |
1871948992 | Alexandra Smith | Physician Assistant | 2323 W Front St, Tyler, TX 75702-7704 | 2016-04-26 |
1952773293 | Susan Blalock | Counselor | 2323 W Front St, Tyler, TX 75702-7704 | 2015-10-27 |
1851777148 | Andrews Center/drop In | Community Based Residential Treatment Facility, Mental Illness | 2323 W Front St, Tyler, TX 75702-7704 | 2015-08-10 |
1922482751 | Andrews Center | Community/Behavioral Health | 2323 W Front St, Tyler, TX 75702-7704 | 2015-07-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679116610 | Tiffiney Mcmakin | Nurse Practitioner | 810 E Houston St # 100, Tyler, TX 75702 | 2019-10-22 |
1659852507 | Krystal Gayle Lilley | Licensed Vocational Nurse | 100 E Ferguson St Ste 60a, Tyler, TX 75702 | 2018-08-28 |
1679029383 | Cynthia Lynn Kalawe | Physical Therapist | 100 E Ferguson, Suite 1204, Tyler, TX 75702 | 2016-09-01 |
1649623646 | Susan E Oxford | Social Worker | 13495 Frankston Highway, Tyler, TX 75702 | 2016-07-14 |
1053769281 | All Kidz Kan | Home Health | 2902 E Front St, Tyler, TX 75702 | 2016-05-27 |
1821415639 | Heather Mullins | Physical Therapy Assistant | 100 E. Ferguson Ste.1204, Tyler, TX 75702 | 2014-03-19 |
1346671336 | Dennis Keith Johnson | Dentist | 3081 Hwy. 31 East, Tyler, TX 75702 | 2013-12-02 |
1275882201 | Bobby Gibson | Counselor | 401 East Front Street, Ste 233, Tyler, TX 75702 | 2012-09-06 |
1144596792 | Tina Marie Borke | Clinical Neuropsychologist | 719 West Front St., Tyler, TX 75702 | 2012-03-28 |
1457629529 | James Whaley Rapp | Specialist/Technologist | 430 South Beckham Avenue, Trinity Mother Frances Sports Medicine, Tyler, TX 75702 | 2011-12-05 |
Find all providers in zip 75702 |
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 |
---|---|---|---|---|
1669073433 | Josephine S Asamoah | Pharmacist | 3820 Tx-64, Tyler, TX 75704-5582 | 2020-11-06 |
1790386738 | Jennifer O Jackson | Pharmacist | 1900 Ese Loop323, Tyler, TX 75701-8337 | 2020-11-05 |
1528669132 | Youness Ennouri | Pharmacist | 2025 Ssw Loop 323, Tyler, TX 75701-0763 | 2020-11-02 |
1194325415 | Rupal R Patel | Pharmacist | 3820 Tx 64, Tyler, TX 75704 | 2020-10-27 |
1528673597 | Holly Beth Lutmer | Pharmacist | 4901 Kinsey Dr Apt 1723, Tyler, TX 75703-3033 | 2020-09-15 |
1558976498 | Traci Carroll George | Pharmacist | 1600 W Sw Loop 323, Tyler, TX 75701-8532 | 2020-09-08 |
1538773213 | Zachary Thompson | Pharmacist | 19201 Oakbrook Rd, Tyler, TX 75703-8233 | 2020-09-01 |
1699392407 | Cathlyn Yu | Pharmacist | 13157 Hwy 271, Tyler, TX 75708-2453 | 2020-06-26 |
1245878826 | Kim Annette Parks | Pharmacist | 113 Nnw Loop 323, Tyler, TX 75702-8725 | 2019-12-14 |
1366003063 | Austin J Dowell | Pharmacist | 4290 Kinsey Dr Ste 100, Tyler, TX 75703-1022 | 2019-06-24 |
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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.