DR. EDWARD SUNG JOON PARK (NPI# 1851420350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851420350 |
| Entity Type | Individual |
| Full Name | DR. EDWARD SUNG JOON PARK |
| Credential | PHARM.D. |
| Practice Address |
5939 Harry Hines Blvd Ste 845 Dallas TX 75235-6248 |
| Mailing Address |
4414 Cedar Springs Rd Apt 203 Dallas TX 75219-2029 |
| Practice Telephone | 2146897806 |
| Practice Fax Number | 2148791077 |
| Mailing Telephone | 2149347309 |
| Mailing Fax Number | 2144439403 |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 40831 | TX | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982678447 | Edward H Park | Physical Therapist | 10080 N Wolfe Rd, Sw3-100, Cupertino, CA 95014-2515 | 2006-02-13 |
| 1285255570 | Edward Park | Student in an Organized Health Care Education/Training Program | 6071 W Outer Dr, Detroit, MI 48235-2624 | 2020-04-28 |
| 1033669064 | Edward Park | Pharmacist | 18600 S Figueroa St, Gardena, CA 90248-4505 | 2016-10-14 |
| 1811390461 | Edward Park | Dentist | 793 Centre St, Jamaica Plain, MA 02130-2736 | 2014-09-26 |
| 1245640374 | Edward Park | Anesthesiology | 8901 Wisconsin Ave, Walter Reed National Military Medical Center, Bethesda, MD 20889-0004 | 2014-04-29 |
| 1366795106 | Edward J Park | Urology | 3771 Katella Ave Ste 210, Los Alamitos, CA 90720 | 2012-10-17 |
| 1396907317 | Edward Park | Internal Medicine | 413 Lilly Rd Ne, Olympia, WA 98506-5133 | 2008-07-01 |
| 1790977791 | Edward Chul Park | Dentist | 6950 Ne Campus Way, Hillsboro, OR 97124-5611 | 2007-08-14 |
| 1740368984 | Edward Henry Park | Obstetrics & Gynecology | 800 N Tustin Ave Ste M, Santa Ana, CA 92705-3605 | 2006-11-02 |
| 1447344429 | Edward Hyunjoon Park | Specialist | 1330 San Bernardino Rd, Suite C, Upland, CA 91786-4928 | 2006-10-03 |
| Street Address |
5939 HARRY HINES BLVD STE 845 |
| City | DALLAS |
| State | TX |
| Zip Code | 75235-6248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265058895 | Kailey Elaine Flowers | Physical Therapy Assistant | 2400 Empire Central Drive, Suite B, Dallas, TX 75235 | 2020-06-19 |
| 1265061071 | Bella Xinyi O'malley | Student in an Organized Health Care Education/Training Program | 1935 Medical Drive, Dallas, TX 75235 | 2020-04-03 |
| 1427687318 | Can Ozlu | Student in an Organized Health Care Education/Training Program | Children's Medical Center of Dallas, 1935 Medical Distr, Dallas, TX 75235 | 2020-04-03 |
| 1689137515 | Tarek Mansi | Student in an Organized Health Care Education/Training Program | 2222 Medical District Dr Apt 4325, Dallas, TX 75235 | 2019-04-08 |
| 1386117125 | Christine Elizabeth Smith | Physician Assistant | 8134 Tex Oak Avenue, Dallas, TX 75235 | 2019-01-04 |
| 1447720016 | Michelle Angelina Dye | Physician Assistant | 5959 Maple Avenue Apt 1171, Dallas, TX 75235 | 2018-11-27 |
| 1255869335 | Andrea Nicole Pennington-peace | Specialist/Technologist, Other | 1935 Medial District, Dallas, TX 75235 | 2017-06-01 |
| 1194258152 | Tricia Rood | Student in an Organized Health Care Education/Training Program | 5200 Harry Hines Blvd., Dallas, TX 75235 | 2017-04-06 |
| 1437690971 | Robin Lee | Counselor | 8915 Hrry Hines Blvd, Dallas, TX 75235 | 2017-03-16 |
| 1871033746 | Javier Davila-lopez | Counselor | 1545 Mockingbird Lane, Suite 4000, Dallas, TX 75235 | 2017-02-27 |
| Find all providers in zip 75235 | ||||
| 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 |
|---|---|---|---|---|
| 1922608629 | Harshadbhai Vinubhai Patel | Pharmacist | 3615 Marietta Highway, Dallas, GA 30157 | 2020-10-30 |
| 1205436599 | Jessica Badders | Pharmacist | 6185 Retail Rd Ste 100, Dallas, TX 75231-7807 | 2020-10-27 |
| 1144820358 | Saad Sajid | Pharmacist | 4062 Lyndon B Johnson Fwy, Dallas, TX 75244-5701 | 2020-10-27 |
| 1417554882 | Ravindrakumar G Amipara | Pharmacist | 3201 Malcolm X Blvd, Dallas, TX 75215-2430 | 2020-10-07 |
| 1558973628 | Hisham Beshir | Pharmacist | 3802 Cedar Rprings Rd, Dallas, TX 75219-4136 | 2020-08-20 |
| 1497367858 | Devyn Giselle Pontzer | Pharmacist | 2802 N Carroll Ave Apt 3301, Dallas, TX 75204-3067 | 2020-08-18 |
| 1922619501 | Jorge Luis Gregorisch | Pharmacist | 2323 W Illinois Ave, Dallas, TX 75224-1637 | 2020-08-16 |
| 1427679059 | Kevon Jason Pierre | Pharmacist | 242 Arbor Creek Dr, Dallas, GA 30157-5536 | 2020-05-05 |
| 1700416658 | Rukayat Azeez | Pharmacist | 990 Singleton Blvd Apt 1554, Dallas, TX 75212-5276 | 2020-01-20 |
| 1205473279 | Olakunle Olabode | Pharmacist | 5675 Mountain Hollow Dr, Dallas, TX 75249-2028 | 2019-12-09 |
| Find all providers in DALLAS | ||||
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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.