DR. DAVID N PARK (NPI# 1518179886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518179886 |
| Entity Type | Individual |
| Full Name | DR. DAVID N PARK |
| Credential | DPH |
| Practice Address |
290 S Washington St Ripley TN 38063-1737 |
| Mailing Address |
1925 Leighs Chapel Rd Covington TN 38019-6556 |
| Practice Telephone | 9014836179 |
| Mailing Telephone | 9014836179 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2014-08-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | C4849 | TN | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 4420852 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524743 | David Park | Dentist | 810 3rd Ave Ste 200, Seattle, WA 98104-1614 | 2020-09-27 |
| 1447879648 | David Jaehyun Park | Student in an Organized Health Care Education/Training Program | 193 Oak St Apt 202e, Newton Upper Falls, MA 02464-1449 | 2020-04-09 |
| 1093363574 | David Mansug Park | Acupuncturist | 5200 Newberry Rd Ste D8, Gainesville, FL 32607-2177 | 2019-08-28 |
| 1831614387 | David Ji Hyun Park | Dentist | 393 Dunlap St N Ste 308, Saint Paul, MN 55104-4223 | 2017-08-06 |
| 1265686448 | David H Park | Dentist | 3530 Dartmouth Ln, Rowland Heights, CA 91748-5135 | 2008-11-14 |
| 1578763413 | David Kyung-il Park | Emergency Medicine | 2500 Merced Sreet, San Leandro, CA 94577-4201 | 2007-07-19 |
| 1942410501 | David S Park | Dentist | 10390 Coloma Rd Ste A, Rancho Cordova, CA 95670-2152 | 2007-05-23 |
| 1780762245 | David Hwantae Park | Optometrist | 7750 N Macarthur Blvd, Ste 180, Irving, TX 75063-7524 | 2006-11-01 |
| 1942315874 | David Daegeun Park | Family Medicine | 119 S Fuquay Avenue, Fuquay-varina, NC 27526-2210 | 2006-08-20 |
| 1114558897 | David Seho Park | Pharmacist | 25825 Vermont Ave, Harbor City, CA 90710-3518 | 2020-01-30 |
| Street Address |
290 S WASHINGTON ST |
| City | RIPLEY |
| State | TN |
| Zip Code | 38063-1737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285666123 | Freds Stores of Tennessee Inc | Pharmacy | 290 S Washington St, Ripley, TN 38063-1737 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609327246 | Ld&h Specialized Care Services | Preferred Provider Organization | 2260 Us-51, Helen R Tucker Adult Dev Center, Ripley, TN 38063 | 2016-10-19 |
| 1477984508 | Mid-south Convenient Care, Pllc | Family Medicine | 521 Hwy 51 North, Ripley, TN 38063 | 2013-11-27 |
| 1285879577 | The Wellness Center of West Tn Inc | Technician | 171 Tucker Street, Ripley, TN 38063 | 2008-12-16 |
| 1023281185 | Aniko Vedette Campbell | Nurse Practitioner | 79 Highway 51 South, Christian Family Medicine, Ripley, TN 38063 | 2008-04-10 |
| 1275750556 | Annabelle Chua | Physical Therapist | 326 Asbury Rd, Ripley, TN 38063 | 2007-04-19 |
| 1073659058 | Thomas Ross Patterson | Dentist | 500 Hwy 51 South, Ripley, TN 38063 | 2007-01-29 |
| 1144370305 | State of Tennessee | Public Health or Welfare | 500 Highway 51 South, Ripley, TN 38063 | 2007-01-11 |
| 1669479036 | Syed A Zaidi | Specialist | 868 Highway 51 South, Suite 101, Ripley, TN 38063 | 2005-06-30 |
| 1558609628 | Citizens of Lake County for Health Care, Inc | Clinic/Center | 317 Cleveland St, Ripley, TN 38063 | 2013-01-24 |
| 1083962633 | James Matthew Harper | Optometrist | 479 S Washington St, Ripley, TN 38063 | 2012-08-29 |
| Find all providers in zip 38063 | ||||
| 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 |
|---|---|---|---|---|
| 1134564925 | Kassie Lawless | Pharmacist | Mcgraw & Main Street, Ripley, WV 25271 | 2013-05-07 |
| 1366786642 | Robert Michael King | Pharmacist | 315 Cleveland St, Ripley, TN 38063-1205 | 2012-11-27 |
| 1821354473 | J W Nunn | Pharmacist | 250 Scottlawn Ln, Ripley, TN 38063-5587 | 2012-04-09 |
| 1548569221 | Gregory Post Parsons | Pharmacist | 635 Main St W, Ripley, WV 25271-1107 | 2011-03-21 |
| 1881998896 | Maria Danielle Pecka | Pharmacist | Mcgraw & Main St, Ripley, WV 25271 | 2011-01-05 |
| 1760785190 | Erica B Shelton | Pharmacist | Mcgraw and Main Street, Ripley, WV 25271 | 2010-12-07 |
| 1407165699 | Cynthia H Glenn | Pharmacist | 79 Highway 51 S Ste 2, Ripley, TN 38063-4580 | 2010-10-05 |
| 1205144763 | Angela Ormon | Pharmacist | 706 City Ave N, Ripley, MS 38663-1615 | 2010-09-18 |
| 1912041153 | Larry G Carden | Pharmacist | 288 S Washington St, Ripley, TN 38063-1737 | 2007-02-19 |
| 1982205902 | Sharon Elaine Purdy | Pharmacist | 200 Academy Dr, Ripley, WV 25271-1157 | 2020-11-05 |
| Find all providers in RIPLEY | ||||
Please comment or provide details below to improve the information on DR. DAVID N PARK.
| 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.