Active NPI
Won K Park
- Pharmacist
- Silver Spring, MD
National Provider Identifier
1467205872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10063
- Practice address
- 11890 Healing Way
Silver Spring, MD 20904-7917 - Phone
- (240) 637-5556
- NPI assigned
- Apr 8, 2024
- 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 | 10063 | MD | Primary |
Addresses
Primary practice location
11890 Healing Way
Silver Spring, MD 20904-7917
Mailing address
6593 Autumn Wind Cir
Clarksville, MD 21029-1277
Phone (443) 538-0439
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10063 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712534400000",
"number": "1467205872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6593 AUTUMN WIND CIR",
"city": "CLARKSVILLE",
"state": "MD",
"postal_code": "210291277",
"telephone_number": "443-538-0439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11890 HEALING WAY",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209047917",
"telephone_number": "240-637-5556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "WON",
"middle_name": "K",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-04-08",
"last_updated": "2024-04-08",
"certification_date": "2024-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "10063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.