Active NPI
Jonathan S Park, PHARMD, CSP
- Pharmacist
- Allentown, PA
National Provider Identifier
1306441340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP453911
- Practice address
- 2024 Lehigh St Ste 600
Allentown, PA 18103-4994 - Phone
- (610) 402-2748
- Fax
- (610) 402-5228
- NPI assigned
- Nov 30, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI04069900 | NJ | |
| Pharmacist | 183500000X | 0202221874 | VA | |
| Pharmacist | 183500000X | RP453911 | PA | Primary |
Addresses
Primary practice location
2024 Lehigh St Ste 600
Allentown, PA 18103-4994
Mailing address
2024 Lehigh St Ste 600
Allentown, PA 18103-4994
Phone (610) 402-2748
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 |
|---|---|---|---|
| 28RI04069900 | NJ | MD | Pharmacist |
| RP453911 | PA | MD | Pharmacist |
| 0202221874 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Procare Pharmacy, L.L.C. | Past | Accepting new patients | |
| Lehigh Valley Hospital | Past | Accepting new patients | |
| Procare Pharmacy, LLC. | Past | Accepting new patients |
Organizations & group practices 3
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": "1606694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755043200000",
"number": "1306441340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2024 LEHIGH ST STE 600",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181034994",
"telephone_number": "610-402-2748",
"fax_number": "610-402-5228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2024 LEHIGH ST STE 600",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181034994",
"telephone_number": "610-402-2748",
"fax_number": "610-402-5228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "JONATHAN",
"middle_name": "S",
"credential": "PHARMD, CSP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-30",
"last_updated": "2025-08-13",
"certification_date": "2025-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI04069900",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202221874",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP453911",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.