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Joann Park

Physician • Visalia, CA

Active NPI 1760867345 Individual Practitioner Female Practitioner
Practice location in NPPES

1405 W Cameron Ave
Visalia, CA 932779527

Call 5596369783 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1405 W Cameron Ave

Visalia, CA 932779527

Telephone 5596369783
Organization at the Same NPPES Address or Phone
Costco Wholesale Corporation Facility NPI 1902916505

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

30-day fills

11 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$2,336 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Sources: CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Shingrix Varicella-Zoster Ge/As01b/Pf 11 11 $2,335.67 —

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-03-25
Pharmacy - Community/Retail Pharmacy Primary Specialty

NUCC Taxonomy Code: 3336C0003X

License # reported to NPPES CA 72188

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
NPI 1497051189

Doctor of Pharmacy (Pharm.D.)

Dr. Mandy Medina , PharmD

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI 1386999019

Doctor of Pharmacy (Pharm.D.)

Karol Wilson

Pharmacist

NPI 1053621300

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
📍
Updated Practice Location March 25, 2023

Registered at 1405 W CAMERON AVE, VISALIA, CA 932779527 (Tel: 5596369783)

📍
Updated Business Mailing Address March 25, 2023

Registered at 1405 W CAMERON AVE, VISALIA, CA 932779527 (Tel: 5596369783)

👤
Provider Name / Credentials Updated March 25, 2023

Recorded as JOANN PARK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 25, 2023

Pharmacy (license number reported to NPPES: CA 72188)

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NPI Profile Active July 24, 2015

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) July 24, 2015

Registered at 1407 N DINUBA BLVD, VISALIA, CA 932912910 (Tel: 5597342620)

📍
Business Mailing Address (Initial Record) July 24, 2015

Registered at 1407 N DINUBA BLVD, VISALIA, CA 932912910

👤
Provider Name / Credentials (Initial Record) July 24, 2015

Recorded as JOANN KIM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 24, 2015

Pharmacist (license number reported to NPPES: CA 72188)

🟢
Initial NPI Registration & Enumeration July 24, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1760867345
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 24, 2015
Last Update: March 25, 2023
Sole Proprietor: Yes

Mailing Address

1405 W Cameron Ave

Visalia, CA 932779527

Phone: 5596369783

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.