SUSAN S PARK (NPI# 1598117012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598117012 |
| Entity Type | Individual |
| Full Name | SUSAN S PARK |
| Practice Address |
15131 E Crestline Ave Centennial CO 80015-2517 |
| Practice Telephone | 7202892021 |
| Mailing Telephone | 7202892021 |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2016-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 14864 | CO | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104230838 | Susan Park | Dentist | 3607 Old Spanish Trl, Suite G, Houston, TX 77021 | 2014-06-20 |
| 1922253673 | Susan Clair Park | Physical Therapist | 7 Spur Rd, Lansdale, PA 19446-1435 | 2008-11-21 |
| 1467668772 | Susan Yooshin Park | Radiology | 8 Calais, Newport Coast, CA 92657-1055 | 2007-05-15 |
| 1497309413 | Susan S Park | Student in an Organized Health Care Education/Training Program | 5645 Main St, Flushing, NY 11355-5045 | 2019-07-29 |
| 1306309463 | Susan Hahn Park | Speech-Language Pathologist | 2525 Brea Blvd, Fullerton, CA 92835-2787 | 2019-04-07 |
| 1962979989 | Susan S Park | Registered Nurse | 420 S 5th Ave, West Reading, PA 19611-2143 | 2018-10-29 |
| 1609376797 | Susan Young Park | Nurse Practitioner | 2242 Repsdorph Rd, Seabrook, TX 77586-1566 | 2018-02-15 |
| 1114253515 | Susan Jung Park | Family Medicine | 11420 Warner Ave, Fountain Valley, CA 92708-2529 | 2009-10-20 |
| 1003070640 | Susan Jin-sun Park | Family Medicine | 661 Sierra Rose Dr, Reno, NV 89511 | 2008-07-14 |
| 1811159411 | Susan Kyung Park | Student in an Organized Health Care Education/Training Program | 14445 Olive View Drive, Sylmar, CA 91342 | 2008-06-26 |
| Street Address |
15131 E CRESTLINE AVE |
| City | CENTENNIAL |
| State | CO |
| Zip Code | 80015-2517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679128326 | Heather Hartleroad | Counselor | 21699 E Quincy Ave Unit F, #352, Aurora, CO 80015 | 2019-08-08 |
| 1033602792 | 4abilities, LLC. | Non-emergency Medical Transport (VAN) | 5105 S Valdai Street, Aurora, CO 80015 | 2018-06-07 |
| 1952827719 | 1st Centennial Home Health LLP | Home Health | 5418 S Danube Way, Centennial, CO 80015 | 2017-08-14 |
| 1881132157 | 1st Allergy Asthma and Pediatrics Too, Inc. | Specialist | 15470 E Smoky Hill Road, Aurora, CO 80015 | 2017-02-07 |
| 1467909028 | Silver Touch Home Care | In Home Supportive Care | 21804 E. Lake Pl, Aurora, CO 80015 | 2016-09-01 |
| 1417302514 | Michelle Dinges | Dietitian, Registered | 5606 S Helena Ct, Centennial, CO 80015 | 2016-04-27 |
| 1043664907 | Gomgom Siregar | Home Health Aide | 5235 S Liverpool Way, Centennial, CO 80015 | 2016-04-18 |
| 1104280528 | Lloyd Reliford | Custodial Care Facility | 5556 S Jericho Way, Centennial, CO 80015 | 2016-04-12 |
| 1003279563 | Victoria Care Services | Respite Care | 17285 E Wagontrail Pkwy, Aurora, CO 80015 | 2016-04-01 |
| 1699130104 | Gina Michelle Fernandez | Physician Assistant | 14813 E Radcliff Pl, Aurora, CO 80015 | 2015-12-28 |
| Find all providers in zip 80015 | ||||
| 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 |
|---|---|---|---|---|
| 1508401126 | Brandon Green | Pharmacist | 7472 S Tucson Way Ste 100, Centennial, CO 80112-3964 | 2019-11-07 |
| 1699319699 | Przemek Thomas Lott | Pharmacist | 7600 E Arapahoe Rd Ste 109, Centennial, CO 80112-1452 | 2019-11-01 |
| 1659854065 | Nam Nguyen Tri Tran | Pharmacist | 7307 S Revere Pkwy Ste 200, Centennial, CO 80112-3931 | 2018-09-11 |
| 1841734894 | Brhane Tadesse Gebreslasia | Pharmacist | 5131 S Olathe Cir, Centennial, CO 80015-4136 | 2016-12-10 |
| 1881078194 | Lesa Ellen Mckenzie | Pharmacist | 6250 E. Long Cir.s, Centennial, CO 80112 | 2015-07-16 |
| 1164803821 | Samuel Eichie | Pharmacist | 7450 S University Blvd, Centennial, CO 80122-1670 | 2015-06-17 |
| 1366837296 | Jewell Reynolds | Pharmacist | 6376 S Glencoe Ct, Centennial, CO 80121-3535 | 2015-03-28 |
| 1083023816 | Rebecca Forbes | Pharmacist | 12450 E Arapahoe Rd Ste A, Centennial, CO 80112-3971 | 2014-08-06 |
| 1316373749 | Robin Harmon Tatum | Pharmacist | 20790 E Maplewood Pl, Centennial, CO 80016-1263 | 2013-09-17 |
| 1730526740 | Laura Jean Trujillo | Pharmacist | 4611 S Ensenada St, Centennial, CO 80015-5823 | 2013-05-30 |
| Find all providers in CENTENNIAL | ||||
| City | CENTENNIAL |
| Zip Code | 80015 |
Please comment or provide details below to improve the information on SUSAN S 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.