DIANA PARK (NPI# 1851810741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851810741 |
| Entity Type | Individual |
| Full Name | DIANA PARK |
| Credential | PHARMD. |
| Practice Address |
2253 N. Richmond Rd. Mchenry IL 60050 |
| Practice Telephone | 8155789710 |
| Practice Fax Number | 8155789765 |
| Mailing Telephone | 8155789710 |
| Mailing Fax Number | 8155789765 |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2017-09-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 051300155 | IL | 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 |
| 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 |
| 1629328281 | Diana Park | Pharmacist | 4220 Missouri Flat Rd, Placerville, CA 95667-6269 | 2012-09-11 |
| Street Address |
2253 N. RICHMOND RD. |
| City | MCHENRY |
| State | IL |
| Zip Code | 60050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932728003 | Tco Jv, LLC | Skilled Nursing Facility | 550 Ridgeview Drive, Mchenry, IL 60050 | 2020-04-09 |
| 1992274971 | Lisa Luedtke | Counselor | 5342 West Elm Street, Mchenry, IL 60050 | 2018-11-19 |
| 1013402825 | Fox Ridge Medical Associates, LLC | Internal Medicine | 3633 Municipal Dr, Mchenry, IL 60050 | 2018-06-25 |
| 1700387065 | Richard Stacy Birmantas | Speech-Language Pathologist | 6515 West Route 120, Mchenry, IL 60050 | 2018-02-22 |
| 1659888774 | Kathleen Mather | Speech-Language Pathologist | 3502 Washington St, Mchenry, IL 60050 | 2018-01-10 |
| 1891205605 | Delorean Mckinney | Psychologist | 4031 Dayton Ave, Mchenry, IL 60050 | 2017-10-06 |
| 1063931921 | Lauren M Young | Counselor | 4031 W. Dayton Street, Mchenery, IL 60050 | 2017-09-12 |
| 1376086264 | Elizabeth Kathleen Zacher | Social Worker | 4100 W Dayton Street, Mchenry, IL 60050 | 2016-11-23 |
| 1700332491 | Jasmine Elias | Social Worker | 4031 Dayton St, Mchenry, IL 60050 | 2016-09-01 |
| 1144776360 | Michal Jakub Kubiak | Internal Medicine | 4111 W. Lillian Street Apt. F, Mchenry, IL 60050 | 2016-08-28 |
| Find all providers in zip 60050 | ||||
| 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 |
|---|---|---|---|---|
| 1851748396 | Denise Coli | Pharmacist | 4222 W Elm St, Mchenry, IL 60050-4030 | 2016-05-13 |
| 1033545900 | Dale Brian Christensen Jr. | Pharmacist | 942 Wiltshire Drive, Mchenry, IL 60050 | 2013-09-23 |
| 1174818322 | Lisa L. Bhatta | Pharmacist | 1860 N. Richmond Rd., Mchenry, IL 60051-5416 | 2011-06-16 |
| 1336434976 | Marc Joseph Garavalia | Pharmacist | 2253 N Richmond Rd, Mchenry, IL 60051-5401 | 2011-06-11 |
| 1568794774 | Angie Lee | Pharmacist | 1900 N Richmond Rd, Mchenry, IL 60051-5402 | 2010-02-12 |
| 1205823283 | Allen Sounhein | Pharmacist | 4100 Veterans Pkwy, Mchenry, IL 60050-8350 | 2005-10-04 |
| 1255946182 | Martyna Turkowicz | Pharmacist | 3925 W Elm St, Mchenry, IL 60050-4361 | 2020-09-08 |
| 1447863402 | Sarah Beth Chismark | Pharmacist | 3925 W Elm St, Mchenry, IL 60050-4361 | 2020-08-28 |
| 1245843127 | Rafay Ahmed | Pharmacist | 3925 W Elm St, Mchenry, IL 60050-4361 | 2020-08-28 |
| 1366000275 | John Benito Talusan Valdepenas Iv | Pharmacist | 3925 W Elm St, Mchenry, IL 60050-4361 | 2019-06-05 |
| Find all providers in MCHENRY | ||||
Please comment or provide details below to improve the information on 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.