STACEY PARK


Address: 5688 Telephone Rd, Ventura, CA 93003-5326
Phone: 8056445922

STACEY PARK (NPI# 1427482983) 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) 1427482983
Entity Type Individual
Full Name STACEY PARK
Credential PHARM.D.
Practice Address 5688 Telephone Rd
Ventura
CA 93003-5326
Mailing Address 5003 Hersholt Ave
Lakewood
CA 90712-2728
Practice Telephone 8056445922
Enumeration Date 2013-09-02
Last Update Date 2013-09-02
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 69498 CA Pharmacy Service Providers

Other Providers STACEY PARK

NPI Name Taxonomy Address Enumeration
1659801173 Stacey Park Psychologist 711 Court A Ste 114, Tacoma, WA 98402-5227 2017-06-18

Office Location

Street Address 5688 TELEPHONE RD
City VENTURA
State CA
Zip Code 93003-5326

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083640866 Vons Companies Inc Durable Medical Equipment & Medical Supplies 5688 Telephone Rd, Ventura, CA 93003-5326 2006-06-24
1710499363 Adorina Moshava Pharmacist 5688 Telephone Rd, Ventura, CA 93003-5326 2017-11-03
1164709424 Peter Jon Zodtner Pharmacist 5688 Telephone Rd, Ventura, CA 93003-5326 2011-11-14
1104126614 Ronald S. Kopp Pharmacist 5688 Telephone Rd, Ventura, CA 93003-5326 2010-10-31

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124645924 Community Memorial Health System Pharmacy 2790 Loma Vista Road, Ventura, CA 93003 2020-06-29
1730702952 Sarah Manon Begert Student in an Organized Health Care Education/Training Program 300 Hillmont Ave., Bldg 340, Ste 201, Ventura, CA 93003 2020-05-21
1033763677 Ashley Danielle Aguilar Counselor 5740 Ralston Suite 100, Ventura, CA 93003 2019-08-01
1730747239 Azadeh Ellsworth Nurse Practitioner 1752 S Victoria Ave Ste 250, Ventura, CA 93003 2019-05-31
1992275556 Melissa Marie Cole Social Worker 4949 Market St, Ventura, CA 93003 2018-11-27
1851868400 Weldon Acupuncture Professional Corporation Acupuncturist 3737 Telegraph Road, Suite F, Ventura, CA 93003 2018-10-31
1952876468 Isabella Florencia Gallegos Specialist/Technologist 1857 Knoll Dr., Ventura, CA 93003 2018-10-11
1437645421 Jill Huang Wong Psychologist 3585 Maple St Ste 248, Ventura, CA 93003 2018-07-02
1346735156 Lisa Ngoc Thi Nguyen Student in an Organized Health Care Education/Training Program 147 N. Brent Street, Ventura, CA 93003 2018-06-25
1457845331 Khloe Frank Student in an Organized Health Care Education/Training Program 300 Hillmont Ave, Bldg 340, Suite 201, Ventura, CA 93003 2018-06-14
Find all providers in zip 93003

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
1447633003 Fernando Maldonado IIi Pharmacist 9308-b Telephone Rd, Ventura, CA 93004 2015-07-01
1770964686 Lori Dibenedetto Pharmacist 1073 N Ventura Ave, 203, Ventura, CA 93001-4700 2015-06-16
1275929044 Jill Bell Pharmacist 4601 Campus St, Ventura, CA 93003-3821 2015-04-08
1871996041 Isaias Isaac Pharmacist 2005 Washington Dr, Ventura, CA 93003-7436 2014-10-02
1619238755 Ryan William Russell Pharmacist 5574 Everglades St Ste A, Ventura, CA 93003-6542 2012-06-05
1346535374 Maryam Ahmadpour Pharmacist 641 Mills Road, Ventura, CA 93003 2011-06-17
1558656587 Andrea Vazquez Cornelio Pharmacist 200 South Wells Rd., Ventura, CA 93007 2011-06-17
1881905990 Marlein Iskandar Pharmacist 2738 E. Thompson Blvd., Ventura, CA 93003 2010-06-24
1174763510 Kyung Sook Chang Pharmacist 3700 Dean Dr Unit 1008, Ventura, CA 93003-3272 2009-02-25
1528218096 Ellen Ann Soto Pharmacist 2738 E Thompson Blvd, Ventura, CA 93003-2719 2008-09-22
Find all providers in VENTURA

Competitor

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City VENTURA
Zip Code 93003

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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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