Active NPI
Won Kyung Park
- Pharmacist
- Streetsboro, OH
National Provider Identifier
1669050209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03440308
- Practice address
- 905 Singletary Dr
Streetsboro, OH 44241-3975 - Phone
- (419) 296-2545
- NPI assigned
- Apr 1, 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 | 03440308 | OH | Primary |
Addresses
Primary practice location
905 Singletary Dr
Streetsboro, OH 44241-3975
Mailing address
3512 Aegean Dr
Akron, OH 44333-1220
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 |
|---|---|---|---|
| 03440308 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617235200000",
"number": "1669050209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3512 AEGEAN DR",
"city": "AKRON",
"state": "OH",
"postal_code": "443331220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 SINGLETARY DR",
"city": "STREETSBORO",
"state": "OH",
"postal_code": "442413975",
"telephone_number": "419-296-2545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "WON KYUNG",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-01",
"last_updated": "2021-04-01",
"certification_date": "2021-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03440308",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Streetsboro, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.