EDWIN PARK
NPI 1356204630
Pharmacist in Rancho Cordova, CA

Active since December 04, 2025
11000 WHITE ROCK RD, RANCHO CORDOVA, CA 95670(800) 977-2273 Get Directions Write a Review

NPPES record last updated: December 4, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Edwin Park NPPES

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

EDWIN PARK (NPI 1356204630) is an individual pharmacist in Rancho Cordova, California, licensed in California (91651) and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1356204630
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameEDWIN PARK
Location Address11000 WHITE ROCK RDRancho Cordova, CA 95670-6010
Mailing Address3960 Pennsylvania Ave Unit 115Glendale, CA 91214-3788 · (818) 967-9799
Sole ProprietorNo
Enumeration DateDecember 4, 2025
NPPES CertifiedDecember 4, 2025
NPI 1356204630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in CA · 91651
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.

11000 WHITE ROCK RD, Rancho Cordova, CA 95670

Other Providers at the Same Location NPPES 2

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

Pharmacist
11000 WHITE ROCK RD
RANCHO CORDOVA, CA 95670
Pharmacist
11000 WHITE ROCK RD
RANCHO CORDOVA, CA 95670

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356204630, enumerated as an "individual" on December 04, 2025.

The provider is located at 11000 WHITE ROCK RD RANCHO CORDOVA, CA 95670 and the phone number is (800) 977-2273.

Pharmacist with taxonomy code 183500000X.