Angelyn Seol Park, PHARM D
Individual provider Active NPI Pharmacist · Honolulu, HI
NPI 1508565292 · NPPES record last updated Mar 1, 2023
Key facts
- NPI
- 1508565292
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PH-4879 (HI)
- Practice address
- 1451 S King St Ste 203a
Honolulu, HI 96814-2568 - Phone
- (808) 379-2347
- NPI assigned
- Mar 1, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH-4879 | HI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Pharmacy Inc | Current |
Accepting new patients | |
| Family Pharmacy Inc | Current |
Accepting new patients |
Locations
1451 S King St
Ste 203A
Honolulu, HI 96814
Phone (808) 379-2347
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH-4879 | HI | Yes |
Addresses
Primary practice location
1451 S King St Ste 203a
Honolulu, HI 96814-2568
Mailing address
1841 Alaweo St
Honolulu, HI 96821-1343
Phone (808) 429-4952
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 1, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.