DR. ALEX PARK


Address: 2323 W Front St, Tyler, TX 75702-7704
Phone: 9035953100

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).

Provider Overview

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

Taxonomy

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

Other Providers ALEX PARK

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

Office Location

Street Address 2323 W FRONT ST
City TYLER
State TX
Zip Code 75702-7704

Providers in the same location

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
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
Find all providers in TYLER

Competitor

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City TYLER
Zip Code 75702

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Dataset Information

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.

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