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PETER PARK PHARM. D
NPI 1992466593
Pharmacist in Jackson, CA

Active since January 05, 2022
12110 INDUSTRY BLVD, JACKSON, CA 95642(209) 257-0786 Get Directions Write a Review

NPPES record last updated: January 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Peter Park Pharm. D NPPES

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

PETER PARK PHARM. D (NPI 1992466593) is an individual pharmacist in Jackson, California, licensed in California (85798) and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1992466593
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NamePETER PARKCredential: PHARM. D
Location Address12110 INDUSTRY BLVDJackson, CA 95642-9373
Mailing Address12110 Industry BlvdJackson, CA 95642-9373
Phone(209) 257-0786
Sole ProprietorNo
Enumeration DateJanuary 5, 2022
NPPES CertifiedJanuary 5, 2022
✔ NPI 1992466593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in CA · 85798
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.
12110 INDUSTRY BLVD, Jackson, CA 95642
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Other Providers at the Same Location NPPES 13

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

SAFEWAY INC
Pharmacy (Community/Retail Pharmacy)
12110 INDUSTRY BLVD
JACKSON, CA 95642
Amador County (209) 257-0786
OLUWATOSIN OPEYEMI OLUYIDE B.PHARM
Pharmacist
12110 INDUSTRY BLVD
JACKSON, CA 95642
Amador County (209) 257-0786
MRS. CYNTHIA CARYN CUSTER-COON PHARMD
Pharmacist
12110 INDUSTRY BLVD
JACKSON, CA 95642
Amador County (209) 257-0786
REBECCA KANESHIRO-PACHECO
Pharmacist
12110 INDUSTRY BLVD
JACKSON, CA 95642
Amador County (209) 257-0786
VAN GIANG NGUYEN
Pharmacist
12110 INDUSTRY BLVD
JACKSON, CA 95642
Amador County (209) 257-0779
SHIVANI RAINA
Pharmacist
12110 INDUSTRY BLVD
JACKSON, CA 95642
Amador County (209) 257-0786
MR. DOUGLAS B BROCK RPH
Pharmacist
12110 INDUSTRY BLVD
JACKSON, CA 95642
Amador County (209) 257-0786
SIRINETR LAPEYRI
Pharmacist
12110 INDUSTRY BLVD
JACKSON, CA 95642
Amador County (209) 257-0786

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 Peter Park's NPI number?

The NPI number for Peter Park is 1992466593. It was assigned to this individual provider in the NPPES registry on January 5, 2022.

Where is Peter Park located?

Peter Park practices at 12110 Industry Blvd, Jackson, CA 95642. The listed phone number is (209) 257-0786.

What is Peter Park's specialty?

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

When was this NPI record last updated?

The NPPES record for Peter Park was last updated on January 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.