HEESUN STEPHANIE PARK (NPI# 1750862520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750862520 |
| Entity Type | Individual |
| Full Name | HEESUN STEPHANIE PARK |
| Practice Address |
4766 E Queen Creek Rd Gilbert AZ 85297-8005 |
| Mailing Address |
2550 S San Tan Village Pkwy Apt 3046 Gilbert AZ 85295-7870 |
| Practice Telephone | 4809881908 |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2018-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | S023518 | AZ | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073785747 | Heesun Park | Art Therapist | 7405 Metropolitan Ave # 2f, Middle Village, NY 11379-2636 | 2008-04-02 |
| Street Address |
4766 E QUEEN CREEK RD |
| City | GILBERT |
| State | AZ |
| Zip Code | 85297-8005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780699041 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 4766 E Queen Creek Rd, Gilbert, AZ 85297-8005 | 2006-07-29 |
| 1053838201 | Haleigh Renee Slinker | Pharmacist | 4766 E Queen Creek Rd, Gilbert, AZ 85297-8005 | 2017-08-28 |
| 1588103378 | Vu M Le | Pharmacist | 4766 E Queen Creek Rd, Gilbert, AZ 85297-8005 | 2017-02-14 |
| 1013450238 | Stephanie Streit | Nurse Practitioner | 4766 E Queen Creek Rd, Gilbert, AZ 85297-8005 | 2016-11-19 |
| 1184176877 | Tram Phan | Pharmacist | 4766 E Queen Creek Rd, Gilbert, AZ 85297-8005 | 2016-10-27 |
| 1497091854 | Sarah Joy Locke | Nurse Practitioner | 4766 E Queen Creek Rd, Gilbert, AZ 85297-8005 | 2012-12-12 |
| 1609157684 | Michael Wayne Keaton | Pharmacist | 4766 E Queen Creek Rd, Gilbert, AZ 85297-8005 | 2011-09-02 |
| 1891007795 | Charles Stuart Quist | Pharmacist | 4766 E Queen Creek Rd, Gilbert, AZ 85297-8005 | 2010-07-08 |
| 1477884344 | Muhannad Abawi | Pharmacist | 4766 E Queen Creek Rd, Gilbert, AZ 85297-8005 | 2010-01-16 |
| 1376873596 | David Rugolo | Pharmacist | 4766 E Queen Creek Rd, Gilbert, AZ 85297-8005 | 2010-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710592357 | Center for Orthopedic Research and Education LLC | Durable Medical Equipment & Medical Supplies | 3597 South Mercy Rd, Ste 200, Gilbert, AZ 85297 | 2020-09-10 |
| 1508483827 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3271 East Queen Creek, Bldg 2, Suite 101-p, Gilbert, AZ 85297 | 2020-07-02 |
| 1225653074 | Sigma Health and Wellness LLC | Nurse Practitioner | 3317 S. Higley Road, Ste 114-757, Gilbert, AZ 85297 | 2020-06-08 |
| 1750928727 | Emily Paige Stott | Specialist/Technologist | 4141 E Sidewinder Ct, Gilbert, AZ 85297 | 2019-12-09 |
| 1386280436 | Ocotillo Surgery Center LLC | Clinic/Center | 3920 S Rome Street, Gilbert, AZ 85297 | 2019-11-25 |
| 1366094930 | Psa Behavioral Health Agency | Community/Behavioral Health | 3271 E. Queen Creek Road, Ste. 105, 110, 111, Gilbert, AZ 85297 | 2019-07-12 |
| 1508337213 | Orthopedic Specialists of North America Pllc | Physical Therapist | 1675 E Melrose Street, Suites 101-103, Gilbert, AZ 85297 | 2018-12-07 |
| 1346766698 | Charles Stanley Bailey | Optometrist | 3098 E. Waterman Way, Gilbert, AZ 85297 | 2017-08-18 |
| 1982155503 | Sheli K Jensen | Marriage & Family Therapist | 7400 S. Power Road, Suite 116, Gilbert, AZ 85297 | 2016-10-19 |
| 1407302763 | Kelly Jo Plencner-vega | Advanced Practice Midwife | 3815 S Val Vista Dr, Gilbert, Az, Gilbert, AZ 85297 | 2016-08-28 |
| Find all providers in zip 85297 | ||||
| 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.