Hyunyong Park

Primary specialty

PharmacistTaxonomy code 183500000X

License

071511 Issued in NY

Practice address

4220 Delaware Ave
Tonawanda, NY 14150-6120

Phone

(716) 695-1111

NPI assigned

Jul 18, 2024

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Rite Aid Drug Palace Inc

  • Community/Retail Pharmacy
  • Brooklyn, NY
  • NPI 1093826158
  NPD (past)
• Rite Aid Drug Palace Inc

  • Community/Retail Pharmacy
  • Tonawanda, NY
  • NPI 1124137500
  NPD (past)

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

{
    "created_epoch": "1721260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1952149304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6386 TRANSIT RD APT 339",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140431125",
            "telephone_number": "201-364-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 DELAWARE AVE",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141506120",
            "telephone_number": "716-695-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "HYUNYONG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-18",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "RI",
            "license": "6633",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH1000548",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "071511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josefa Anne Palmiero, R.N.
• Albert Frank Palumbo, O.D.
• Collene Marie Panzarella, F.N.P.
• James John Panzarella, D.O.
• Park Sher Optical Co of Buffalo Ny Inc
• Parker Chiropractic
• Jarett Parker, ATC
• Nidhhi Parmar, DDS
• Ryan Parry, NP
• Damika Patterson, REGISTERED NUSE

• Pharmacist in Tonawanda, NY
• Providers in Tonawanda, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.