Justin Sung Jun Park

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH61031622 Issued in WA

Practice address

15100 SE 38TH St
Bellevue, WA 98006-1728

Phone

(425) 746-4028

NPI assigned

Dec 7, 2023

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

State licenses

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

{
    "created_epoch": "1701907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1912774266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 18TH AVE APT 213",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15100 SE 38TH ST",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980061728",
            "telephone_number": "425-746-4028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "JUSTIN",
        "middle_name": "SUNG JUN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-07",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH61031622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Byungjun Park, D.D.S.
• Christine Park, LMFT, ATR
• Chulhyun Park
• Esther J Park, M.D.
• Jake Yong Park, DDS
• Kilhong Park, M.D.
• Mina Young Park, PT
• Sangwoo Park
• Sarah Park
• Sejin Park, DPT

• Pharmacist in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Pharmacist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.