IndividualActive
Ellen Park
NPI 1174090179 · Pharmacist · Baldwin Park, CA
Ellen Park is a Pharmacist provider in Baldwin Park, CA (NPI 1174090179).
Provider details
- NPI number
- 1174090179
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 78909 (CA)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1011 Baldwin Park Blvd
Baldwin Park, CA 91706-5806
Phone: (626) 851-7523
Street-level locationGet directions
Mailing address
5077 Commonwealth Ave
La Canada, CA 91011-2401
Registry dates
- Enumerated
- 2018-10-28
- Last updated
- 2018-10-28
Frequently asked questions
- What is Ellen Park's NPI number?
- Ellen Park's National Provider Identifier (NPI) is 1174090179, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ellen Park's specialty?
- Ellen Park is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Ellen Park located?
- Ellen Park's practice location on file with NPPES is 1011 Baldwin Park Blvd, Baldwin Park, CA 91706-5806.
- What is Ellen Park's phone number?
- The practice phone number listed in the NPPES registry for Ellen Park is (626) 851-7523.
- Is Ellen Park's NPI active?
- Yes — Ellen Park's NPI (1174090179) is active in the NPPES registry as of the last update on 2018-10-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.