So Yeon Park

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH1000790 Issued in MA

Practice address

516 Route 134 Ste 2
South Dennis, MA 02660-3447

Phone

(508) 398-0133

NPI assigned

Mar 25, 2025

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

State licenses

Practice roles

Locations

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.

• CVS Pharmacy Inc

  • Pharmacy
  • South Dennis, MA
  • NPI 1316035736
  NPD
• CVS Pharmacy Inc

  • Pharmacy
  • Stafford, TX
  • NPI 1427931351
  NPD (past)

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

{
    "created_epoch": "1742860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1801698402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 ROUTE 134 STE 2",
            "city": "SOUTH DENNIS",
            "state": "MA",
            "postal_code": "026603447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 ROUTE 134 STE 2",
            "city": "SOUTH DENNIS",
            "state": "MA",
            "postal_code": "026603447",
            "telephone_number": "508-398-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "SO YEON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-25",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH1000790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New England Sound LLC
• Joyce L. North, RN
• Joyce L Olson, LICSW
• One Love Lane Operator LLC
• Pamela Stiefvater
• Laura Madeline Peterson, LMT
• Physiotherapy Associates Inc
• Karen Pineau, BCBA, LABA
• Susanne Powers
• Puzio Eyecare Associates, LLC

• Pharmacist in South Dennis, MA
• Providers in South Dennis, MA by specialty
• Pharmacist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; 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.