MS. DIANA PARK (NPI# 1629328281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629328281 |
| Entity Type | Individual |
| Full Name | MS. DIANA PARK |
| Credential | PHARM.D |
| Practice Address |
4220 Missouri Flat Rd Placerville CA 95667-6269 |
| Mailing Address |
9562 Rose Vista Ct Sacramento CA 95827-3268 |
| Practice Telephone | 5303441062 |
| Mailing Telephone | 9165414622 |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2012-09-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 66645 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154949832 | Diana Park | Registered Nurse | 140 Commonwealth Ave Fl Hall2, Chestnut Hill, MA 02467-3858 | 2020-07-09 |
| 1851810741 | Diana Park | Pharmacist | 2253 N. Richmond Rd., Mchenry, IL 60050 | 2017-09-12 |
| 1447638036 | Diana Changbin Park | Marriage & Family Therapist | 2000 W Hedding St # 20d, San Jose, CA 95128-1475 | 2015-05-14 |
| 1942734124 | Diana Park | Pharmacist | 268 Reservation Rd, Marina, CA 93933-3178 | 2017-04-14 |
| 1518377969 | Diana Park | Dentist | 877 Eastwind Dr, Westerville, OH 43081-3309 | 2014-05-06 |
| Street Address |
4220 MISSOURI FLAT RD |
| City | PLACERVILLE |
| State | CA |
| Zip Code | 95667-6269 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689903825 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 4220 Missouri Flat Rd, Placerville, CA 95667-6269 | 2009-12-17 |
| 1962769596 | Crystal Martin | Pharmacist | 4220 Missouri Flat Rd, Placerville, CA 95667-6269 | 2012-04-20 |
| 1801171426 | Melissa Jane Serino | Pharmacist | 4220 Missouri Flat Rd, Placerville, CA 95667-6269 | 2011-10-14 |
| 1366722084 | Zachariah V Bui | Pharmacist | 4220 Missouri Flat Rd, Placerville, CA 95667-6269 | 2011-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053919258 | Lacey Etienne Neufeld | Nurse Practitioner | Marshall Transitional Care Unit, 1100 Marshall Way, Placerville, CA 95667 | 2020-10-12 |
| 1497390041 | Summitview Child & Family Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 3025 Glee Ln, Placerville, CA 95667 | 2019-11-07 |
| 1225694474 | Camille Borba | Doula | 1212 Lotus Rd, Placerville, CA 95667 | 2019-05-14 |
| 1033610399 | Julie Marie Halsall | Counselor | 2844 Coloma Street, Placerville, CA 95667 | 2018-02-22 |
| 1053839092 | County of El Dorado | Community/Behavioral Health | 3057 Briw Road, Suite A, Placerville, CA 95667 | 2017-08-30 |
| 1982129508 | Brent Charles Ulrici | Counselor | 2986 Colma St, Placerville, CA 95667 | 2017-08-04 |
| 1629464326 | Crystal Coury | Counselor | 5607 Mount Murphy Roas, Garden Valley, CA 95667 | 2015-04-09 |
| 1396141750 | Brown and Ghazal Dental Corporation | Dentist | 3967 Missouri Flat Road, Suite 120, Placerville, CA 95667 | 2014-11-13 |
| 1962808402 | Laura Ann Curry | Counselor | 6765 Green Valley Road, Placerville, CA 95667 | 2014-11-11 |
| 1518374453 | Kelly Lynn Carson | Counselor | 2844 Colona St., Placerville, CA 95667 | 2014-07-11 |
| Find all providers in zip 95667 | ||||
| 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 |
|---|---|---|---|---|
| 1326459165 | Deborah Dejager | Pharmacist | 166 Placerville Dr, Placerville, CA 95667-3919 | 2014-05-14 |
| 1275871378 | Sheldon Dennis Holland | Pharmacist | 359 Main St., Placerville, CA 95667 | 2013-01-24 |
| 1629356050 | Gary M. Pinkley | Pharmacist | 685 Placerville Dr # 350, Placerville, CA 95667-4231 | 2011-08-02 |
| 1558680645 | Carmela Sion Tagalogon | Pharmacist | 31 Fair Ln, Placerville, CA 95667-3922 | 2010-05-28 |
| 1629139258 | Emil P Salvotti | Pharmacist | 3525 Thorson Dr, Placerville, CA 95667-7809 | 2006-12-13 |
| 1467513903 | Ronald Lee Keil | Pharmacist | 7563 Green Valley Rd, Placerville, CA 95667-3917 | 2006-12-12 |
| 1629685672 | Michael Ian Guillermo | Pharmacist | 1220 Broadway, Placerville, CA 95667-5806 | 2020-09-24 |
| 1538706163 | Amy Catherine Reese | Pharmacist | 359 Main St, Placerville, CA 95667-5605 | 2019-12-02 |
| 1487298386 | Sandra Tu Han Lee | Pharmacist | 1220 Broadway, Placerville, CA 95667-5806 | 2019-11-04 |
| 1053963504 | Amanuel Tesfamichael | Pharmacist | 4300 Missouri Flat Rd, Placerville, CA 95667-6811 | 2019-07-15 |
| Find all providers in PLACERVILLE | ||||
| City | PLACERVILLE |
| Zip Code | 95667 |
Please comment or provide details below to improve the information on MS. DIANA 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.