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TED PARK
NPI 1215616818
Pharmacy Technician in Minneapolis, MN

Active since July 12, 2023
1221 W LAKE ST STE 200, MINNEAPOLIS, MN 55408(612) 824-1036 Get Directions Write a Review

NPPES record last updated: July 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ted Park NPPES

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

TED PARK (NPI 1215616818) is an individual pharmacy technician in Minneapolis, Minnesota, licensed in Minnesota (813828) and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1215616818
Entity TypeIndividualMale
Primary Taxonomy183700000X
Provider Legal NameTED PARK
Location Address1221 W LAKE ST STE 200Minneapolis, MN 55408-3565
Mailing Address1477 W Lake St # N318Minneapolis, MN 55408-5099
Phone(612) 824-1036
Sole ProprietorNo
Enumeration DateJuly 12, 2023
NPPES CertifiedJuly 12, 2023
✔ NPI 1215616818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy TechnicianPharmacy Service Providers
Taxonomy Code183700000X
License✔ Licensed in MN · 813828
Definition
A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist.
1221 W LAKE ST STE 200, Minneapolis, MN 55408
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMIE SWANSON PHARMD
Pharmacist
1221 W LAKE ST STE 200
MINNEAPOLIS, MN 55408
Hennepin County (612) 824-1036
WALGREEN CO
Pharmacy
1221 W LAKE ST STE 200
MINNEAPOLIS, MN 55408
Hennepin County (612) 824-1036
DR. JONATHAN FARES ISSA PHARMD
Pharmacist
1221 W LAKE ST STE 200
MINNEAPOLIS, MN 55408
Hennepin County (612) 824-1036
MATTHEW OSEBOLD PHARMD
Pharmacist
1221 W LAKE ST STE 200
MINNEAPOLIS, MN 55408
Hennepin County (612) 824-1036
JACOB RUBEN DEHECK
Pharmacist
1221 W LAKE ST STE 200
MINNEAPOLIS, MN 55408
Hennepin County (612) 824-1036

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ted Park's NPI number?

The NPI number for Ted Park is 1215616818. It was assigned to this individual provider in the NPPES registry on July 12, 2023.

Where is Ted Park located?

Ted Park practices at 1221 W Lake St Ste 200, Minneapolis, MN 55408. The listed phone number is (612) 824-1036.

What is Ted Park's specialty?

The primary specialty registered for this NPI is Pharmacy Technician with taxonomy code 183700000X.

When was this NPI record last updated?

The NPPES record for Ted Park was last updated on July 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.