Jung Ju Park, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

051245-1 Issued in NY

Practice address

7321 Kissena Blvd
Flushing, NY 11367-3089

Phone

(263) 291-8718

Fax

(718) 263-3415

NPI assigned

Jun 17, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Walgreen Co

  • Pharmacy
  • Flushing, NY
  • NPI 1457596892
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Richmond Hill, NY
  • NPI 1720399652
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575936000000",
    "number": "1568699544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7321 KISSENA BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673089",
            "telephone_number": "718-263-2918",
            "fax_number": "718-263-3415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7321 KISSENA BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673089",
            "telephone_number": "263-291-8718",
            "fax_number": "718-263-3415"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13250 Metropolitan Ave",
            "address_purpose": "LOCATION",
            "city": "Richmond Hill",
            "state": "NY",
            "postal_code": "114181948",
            "country_code": "US",
            "telephone_number": "718-297-3745",
            "fax_number": "718-291-4589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARK",
        "first_name": "JUNG JU",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-17",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "051245-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Park
• Jason Park, R.PH.
• Ji Park, DDS
• John K Park, M.D.
• Joonjoa Park, LCSW
• Jung Min Park
• Junsu Park
• Karry Park
• Ki Julia Park, R.PH
• Ki Young Park, MD

• Pharmacist in Flushing, NY
• Providers in Flushing, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.