Active NPI
Sungho Christian Park, PHARMD
- Home Infusion Therapy Pharmacy
- Charlottesville, VA
National Provider Identifier
1184575110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Infusion Therapy Pharmacy
- License
- 0202218660
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0202218660 | VA | MD | Home Infusion Therapy Pharmacy |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Community/Retail Pharmacy
- Charlottesville, VA
- NPI 1790399202
Home Infusion Therapy Pharmacy
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.