Justin Kyouk Park, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI04084400 Issued in NJ

Practice address

45 Pearl St
Metuchen, NJ 08840-1832

Phone

(732) 516-0089

NPI assigned

Dec 9, 2020

Sex

Male

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

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

{
    "created_epoch": "1607472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1841896206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 N ELLIE ST",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906313995",
            "telephone_number": "714-328-6506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 PEARL ST",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088401832",
            "telephone_number": "732-516-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "JUSTIN",
        "middle_name": "KYOUK",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-09",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI04084400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shamyra P Osanyinlusi, LPC
• Pacifica PM&R LLC
• Pooja Papneja
• Candice Park, D.D.S.
• Choon Sik Park, D.D.S.
• Avnee Maganlal Patel, PHYSICAL THERAPIST
• Bimal Patel, D.O
• Paresh Raman Patel, DMD
• Reema Patel
• Savan Patel

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; 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.