Active NPIIndividual provider

Soo K Pak

Pharmacist in Flushing, New York

NPI Number1366921199
Practice location
15015 Northern Blvd, Flushing, NY 11354-3885
Fax
—
Last updated
August 13, 2018

Soo Kyong Pak is a Pharmacist based in Flushing, NY. Soo Kyong Pak practices in Flushing, NY. The NPI Number for Soo Kyong Pak is 1366921199 and holds a License No. 064178 (NY). The current practice location address for Soo Kyong Pak is 15015 Northern Blvd, Flushing, NY 11354-3885 and can be reached out via phone at 718-888-0851.

Provider Profile Details

NPI Number
1366921199
Provider Name
Soo Kyong Pak
Provider Entity Type
Individual
Gender
Female
Address
15015 Northern Blvd, Flushing, NY 11354-3885
Phone Number
718-888-0851
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
No
Provider Enumeration Date
August 13, 2018
Last Update Date
August 13, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
15015 Northern Blvd
Flushing, NY 11354-3885
Zip
11354-3885
Phone Number
718-888-0851
Flushing, NY 11354Get directions →

Provider Business Mailing Address Details

Address
55 Bergen Blvd Apt 3B
Palisades Park, NJ 07650-1946
City
Palisades Park
State
NJ
Zip
07650-1946
Phone Number
201-561-6969

License Information

License Number
064178
License State
NY
Taxonomy
Pharmacist · 183500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Soo K Pak?

The NPI number of Soo K Pak is 1366921199. It was assigned on August 13, 2018 and is currently active in the NPPES registry.

What is the specialty of Soo K Pak?

Soo K Pak is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in NY under license number 064178.

Where does Soo K Pak practice?

The practice location is 15015 Northern Blvd, Flushing, NY 11354-3885. The office can be reached at 718-888-0851 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1366921199 directly on the NPPES registry website.

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