John Bansuk Park, PHARM.D.
NPI 1619258100ActiveIndividual· Pharmacist· Cerritos, CA
Listed on the HHS-OIG exclusion list since October 2020 (1128a1). Pharmacist (PHARM.D.) in Cerritos, California, licensed in CA, with an NPI issued in August 2011.
Overview
| NPI | 1619258100 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHARM.D. |
| Sole proprietor | Yes |
| NPI issued | Aug 29, 2011 |
| Last updated in NPPES | Aug 29, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist Primary | 183500000X | 65907 | CA |
Exclusion screening
This NPI appears on the OIG exclusion list. Excluded parties cannot be paid by Medicare, Medicaid or other federal health care programs, directly or through an employer.
| Matched by | Name on OIG list | Exclusion type | Excluded since | Location |
|---|---|---|---|---|
| NPI | John Bansuk Park · Pharmacist | 1128a1 | Oct 20, 2020 | Fullerton, CA |
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | Listed (NPI) | See above |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Pharmacist providers in Cerritos
- 1679865083
- 1801204300
- 1619093770
- 1558958231
- 1831051895
- 1760766935
- 1861338766
- 1356046890
- 1205457926
- 1255995114
- 1013497783
- 1134942063