Joanna Park
Pharmacist in San Diego, CA. Individual provider (NPI-1).
NPI number1003777293
StatusActive
Last updated in NPPESNov 19, 2025
Details
- NPI
- 1003777293
- Entity type
- Individual (NPI-1)
- Name
- Joanna Park
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 19, 2025
- Certification date
- Nov 19, 2025
- Last updated
- Nov 19, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 91061 | CA | Yes |
Practice location
7901 Frost StSan Diego, CA 92123-2701
Phone 858-939-3400
Mailing address
867 Oak Knoll StBrea, CA 92821-2039
Phone 818-671-8809
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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