So Yeun Park, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI03893900 Issued in NJ

Practice address

242 Palisade Ave
Garfield, NJ 07026-2967

Phone

(877) 469-4334

Fax

(888) 987-4763

NPI assigned

Apr 30, 2018

Last updated

Apr 30, 2018By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Golden Care Pharmacy

  dba Golden Healthcare Pharmacy

  • Community/Retail Pharmacy
  • Garfield, NJ
  • NPI 1427479344
  NPD (past)

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

{
    "created_epoch": "1525046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525046400000",
    "number": "1689162224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "373 E MAIN ST APT 102",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088763130",
            "telephone_number": "574-780-6159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 PALISADE AVE",
            "city": "GARFIELD",
            "state": "NJ",
            "postal_code": "070262967",
            "telephone_number": "877-469-4334",
            "fax_number": "888-987-4763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "SO YEUN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-30",
        "last_updated": "2018-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03893900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oscar Marcilla MD PC
• Outside the Wall Counseling Services
• Ewelina Pacyga
• Rossio Palacios
• Ji Young Park, PHARMD
• Passionate Care
• Mudra Patel
• Noelia Carolina Payano, MSN, RN, CSN
• Pediatric Health Center, LLC
• Peter Perrone, MD,DC

• Pharmacist in Garfield, NJ
• Providers in Garfield, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2018; 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.