DR. TRAVIS ANTHONY PARK PHARMD.
NPI 1033329248
Pharmacist in Coeur D Alene, ID

Q: What is Travis Park's NPI number?

The NPI number for Travis Park is 1033329248. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Q: What is Travis Park's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

Q: When was this NPI record last updated?

The NPPES record for Travis Park was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 23, 2007

2003 LINCOLN WAY, COEUR D ALENE, ID 83814(208) 666-3032 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Travis Anthony Park Pharmd. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TRAVIS ANTHONY PARK PHARMD. (NPI 1033329248) is an individual pharmacist in Coeur D Alene, Idaho, licensed in Idaho (P6016) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1033329248

Entity TypeIndividualMale

Primary Taxonomy183500000X

Provider Legal NameDR. TRAVIS ANTHONY PARKCredential: PHARMD.

Location Address2003 LINCOLN WAYCoeur D Alene, ID 83814-2611

Mailing Address3316 E Pine Hill DrCoeur D Alene, ID 83815-6618 · (208) 169-3128

Phone(208) 666-3032

Sole ProprietorNo

Enumeration DateMay 23, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1033329248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers

Taxonomy Code183500000X

License✔ Licensed in ID · P6016

Definition

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.

2003 LINCOLN WAY, Coeur D Alene, ID 83814

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