EUN SOO PARK (NPI# 1548884034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548884034 |
| Entity Type | Individual |
| Full Name | EUN SOO PARK |
| Practice Address |
805 S Val Vista Dr Gilbert AZ 85296-3788 |
| Mailing Address |
4296 E Park Ave Gilbert AZ 85234-0711 |
| Practice Telephone | 4808926039 |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2020-06-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | S024502 | AZ | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407205743 | Eun Soo David Park | Family Medicine | 4175 S Alamo Ave, Tucson, AZ 85707 | 2016-06-07 |
| Street Address |
805 S VAL VISTA DR |
| City | GILBERT |
| State | AZ |
| Zip Code | 85296-3788 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679588925 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 805 S Val Vista Dr, Gilbert, AZ 85296-3788 | 2006-07-29 |
| 1073128765 | Nicole Scheetz | Pharmacist | 805 S Val Vista Dr, Gilbert, AZ 85296-3788 | 2020-09-10 |
| 1578173019 | Nathan Thomas Korczynski | Pharmacist | 805 S Val Vista Dr, Gilbert, AZ 85296-3788 | 2020-08-07 |
| 1003325549 | Kyle Justin Weaver | Pharmacist | 805 S Val Vista Dr, Gilbert, AZ 85296-3788 | 2017-09-27 |
| 1235546748 | Joumana Eldaye | Pharmacist | 805 S Val Vista Dr, Gilbert, AZ 85296-3788 | 2014-07-16 |
| 1639510076 | Abigail Josette Roelle | Pharmacist | 805 S Val Vista Dr, Gilbert, AZ 85296 | 2013-07-15 |
| 1043541048 | Michelle Marie Kosednar | Pharmacist | 805 S Val Vista Dr, Gilbert, AZ 85296-3788 | 2010-01-15 |
| 1699005876 | Idara Ekpo | Pharmacist | 805 S Val Vista Dr, Gilbert, AZ 85296-3788 | 2010-01-11 |
| 1538499744 | Yen H Nguyen | Pharmacist | 805 S Val Vista Dr, Gilbert, AZ 85296-3788 | 2010-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124625793 | Gilbert Crossroads Kids' Dentists and Orthodontics, LLP | Dentist | 835 S. Gilbert Rd, Suite 104, Gilbert, AZ 85296 | 2020-10-06 |
| 1306455969 | Calm Care Living | Community/Behavioral Health | 1525 S Higley Rd, #104-6769, Gilbert, AZ 85296 | 2020-07-29 |
| 1366080970 | Hannah Golladay | Behavior Technician | 1166 S Gilbert Road, Suite 106, Mesa, AZ 85296 | 2019-12-13 |
| 1194284729 | Kege Health, LLC | Nurse Practitioner | 1206 E Warner Rd Ste 101f, Gilbert, AZ 85296 | 2019-03-13 |
| 1841757762 | Windhorse Counseling | Counselor | 1166 E Warner Road, Suite 203, Gilbert, AZ 85296 | 2019-02-27 |
| 1417424284 | Ashton N Wright | Behavior Technician | 1166 E Gilbert Rd, #106, Gilbert, AZ 85296 | 2018-10-30 |
| 1346717246 | Robison Orthodontics LLC | Dentist | 1355 S Higley Rd # 105, Gilbert, AZ 85296 | 2018-10-29 |
| 1518441831 | Kara Lyn Holyoak | Physician Assistant | 1359 S. Porter St., Gilbert, AZ 85296 | 2018-09-21 |
| 1225519119 | Jennifer Anne Goodman | Specialist/Technologist | 70 S Val Vista Dr A3, Gilbert, AZ 85296 | 2018-08-28 |
| 1437642329 | Greta Shumway | Counselor | 690 E. Warner Road, #115, Gilbert, AZ 85296 | 2018-06-14 |
| Find all providers in zip 85296 | ||||
| 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 |
|---|---|---|---|---|
| 1902412414 | Kendi Kocbeck | Pharmacist | 2486 E Boston St, Gilbert, AZ 85295-2301 | 2020-09-20 |
| 1285259812 | Sara Garcia | Pharmacist | 2501 E Parkview Dr, Gilbert, AZ 85295-2345 | 2020-06-09 |
| 1922510627 | Quang N Tien | Pharmacist | 119 W Mesquite St, Gilbert, AZ 85233-6412 | 2017-11-02 |
| 1053854489 | Joseph Thomas Nofel | Pharmacist | 3860 E Redfield Ct, Gilbert, AZ 85234-3207 | 2016-12-03 |
| 1740632991 | Cameron Beatty | Pharmacist | 2727 S Cupertino Dr, Gilbert, AZ 85295-3687 | 2016-07-11 |
| 1740630490 | Charles Curtis | Pharmacist | 2581 E Orleans Dr, Gilbert, AZ 85298-2337 | 2016-06-14 |
| 1114391893 | Ritchey Noele Sewell | Pharmacist | 2089 E Arabian Dr, Gilbert, AZ 85296-3332 | 2015-11-18 |
| 1235506437 | Danny Younglam | Pharmacist | 2466 E Harrison Ct, Gilbert, AZ 85295-9025 | 2015-08-24 |
| 1801272943 | Allie Gaetano | Pharmacist | 455 S Recker Rd, Apt 1019, Gilbert, AZ 85296-1206 | 2015-07-30 |
| 1639557036 | James Walter Foy | Pharmacist | 3926 E Jude Ln, Gilbert, AZ 85298-8513 | 2015-05-18 |
| Find all providers in GILBERT | ||||
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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.