SEONG PARK (NPI# 1801188727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801188727 |
| Entity Type | Individual |
| Full Name | SEONG PARK |
| Practice Address |
Unit 15244 Box 817 Apo AP 96205-5244 |
| Practice Telephone | 3157371158 |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2016-06-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
45290 | CA | Pharmacy Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
45290 | CA | Pharmacy Service Providers |
| N | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
45290 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245592211 | Seong Keun Park | Acupuncturist | 1790 Atkinson Rd., Suite A, Lawrenceville, GA 30043-7989 | 2012-06-14 |
| 1003429366 | Seong Park | Student in an Organized Health Care Education/Training Program | 240 E Huron St Ste 1-200, Chicago, IL 60611-2909 | 2020-08-26 |
| Street Address |
UNIT 15244 BOX 817 |
| City | APO |
| State | AP |
| Zip Code | 96205-5244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518450394 | Charles D Walker | Nurse Practitioner | 0121 Md Hsp Combat Support, Apo, AP 96205 | 2018-06-07 |
| 1952815235 | Robert Martinusek | Physical Therapist | Brian Allgood Army Community Hospital Unit 15543, Bldg 7005, Apo, AP 96205 | 2017-11-26 |
| 1659897056 | Laura Tsu | Dentist | 618 Mc Co Dental Com Wbpdaa, Yong San, AP 96205 | 2017-08-17 |
| 1962959502 | Amy Lee Wooten | Nurse Anesthetist, Certified Registered | Brian Allgood Army Hospital, Unit 15244, Camp Humphreys, KOREA 96205 | 2016-09-01 |
| 1912451105 | Laurel Alison Kessler | Dentist | 618 Md Co Dental Company, Apo, AP 96205 | 2016-08-05 |
| 1396116059 | Stephanie Louise Wheeler | Counselor | Hq, Usameddac-korea, Unit 15281, Apo, AP 96205 | 2015-10-07 |
| 1720454994 | Jared Colin Stewart | Dentist | 618th Dental Company, Usa Dentac Korea, Unit 15652, Apo, AP 96205 | 2015-08-11 |
| 1356717524 | John Carmen Warren | Dentist | 618th Dental Company, Usa Dentac - Korea, Unit # 15652, Apo, AP 96205 | 2015-08-11 |
| 1912381823 | Chanise Garvin-dumay | Registered Nurse | 121 Csh/baach. Pad, Yongsan, Apo, AP 96205 | 2015-07-10 |
| 1245611854 | Sabrina Emerald Kunciw | Family Medicine | 121 Csh/baach, Building #17005, Apo, AP 96205 | 2015-06-10 |
| Find all providers in zip 96205 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578795795 | Amanda Knott | Pharmacist | Cmr 402 Box 341, Apo, AE 09180-0004 | 2009-08-21 |
| 1619135324 | Steven Lee Clause | Pharmacist | 1087 Building 601 Ocean Road, Us Army Kwajalein Atoll, Apo, AP 96555-1087 | 2008-05-29 |
| 1962431692 | Heather Lea Davis | Pharmacist | Cmr 427 Box 44, Apo, AE 09630-0001 | 2006-07-03 |
| 1124473012 | Julie Won | Pharmacist | Unit 15244, Apo, AP 96205-5244 | 2016-04-28 |
| 1790921849 | Paul Ray | Pharmacist | Cmr 467, Apo, AE 09096-3541 | 2008-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518345800 | Delilah Kebede | Pharmacist | Psc 490, Box 7667, Fpo, AP 96538-0490 | 2015-05-07 |
Please comment or provide details below to improve the information on SEONG 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.