Individual provider Active NPI

Sungho Christian Park, PHARMD

  • Home Infusion Therapy Pharmacy
  • Charlottesville, VA
National Provider Identifier
1184575110
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
License
0202218660 Issued in VA
Practice address
2205 Fontaine Ave
Charlottesville, VA 22903-2976
Phone
(434) 297-7555
Fax
(434) 297-4495
NPI assigned
Feb 5, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Therapy Pharmacy 3336H0001X 0202218660 VA Primary

Addresses

Primary practice location

2205 Fontaine Ave
Charlottesville, VA 22903-2976

Mailing address

2205 Fontaine Ave
Charlottesville, VA 22903-2976
Phone (434) 297-7555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
0202218660VAMDHome Infusion Therapy Pharmacy

Practice roles

OrganizationSpecialtyStatusNew patients
Rector & Visitors of the University of Virginia Home Infusion Therapy Pharmacy Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1770249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1184575110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 FONTAINE AVE",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229032976",
            "telephone_number": "434-297-7555",
            "fax_number": "434-297-4495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 FONTAINE AVE",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229032976",
            "telephone_number": "434-297-7555",
            "fax_number": "434-297-4495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "SUNGHO",
        "middle_name": "CHRISTIAN",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-02-05",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "VA",
            "license": "0202218660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.