Active NPI
Soyoung Park
- Pharmacist
- Federal Way, WA
National Provider Identifier
1831631738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- IR60586397
- Practice address
- 33702 21St Ave SW
Federal Way, WA 98023-7762 - Phone
- (253) 332-6044
- NPI assigned
- Nov 8, 2016
- Sex
- Female
- Sole proprietor
- No
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 | IR60586397 | WA | Primary |
Addresses
Primary practice location
33702 21St Ave SW
Federal Way, WA 98023-7762
Mailing address
6559 35TH Ave NE Apt 209
Seattle, WA 98115-7331
Phone (253) 332-6044
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 |
|---|---|---|---|
| IR60586397 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478736000000",
"number": "1831631738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6559 35TH AVE NE APT 209",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981157331",
"telephone_number": "253-332-6044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33702 21ST AVE SW",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980237762",
"telephone_number": "253-332-6044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "SOYOUNG",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-08",
"last_updated": "2016-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "IR60586397",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Federal Way, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.