Active NPI
Hyun Jin Park, PHARMD
- Pharmacist
- Covington, WA
National Provider Identifier
1275121592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH61062247
- Practice address
- 27520 Covington Way SE
Covington, WA 98042-9100 - Phone
- (253) 796-1004
- NPI assigned
- Jan 3, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH61062247 | WA | Primary |
Addresses
Primary practice location
27520 Covington Way SE
Covington, WA 98042-9100
Mailing address
5219 NE 25TH St
Renton, WA 98059-3782
Phone (425) 922-1136
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 |
|---|---|---|---|
| PH61062247 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609632000000",
"number": "1275121592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5219 NE 25TH ST",
"city": "RENTON",
"state": "WA",
"postal_code": "980593782",
"telephone_number": "425-922-1136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27520 COVINGTON WAY SE",
"city": "COVINGTON",
"state": "WA",
"postal_code": "980429100",
"telephone_number": "253-796-1004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "HYUN",
"middle_name": "JIN",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-03",
"last_updated": "2021-01-03",
"certification_date": "2021-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH61062247",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Covington, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.