Active NPIIndividual provider

Jeong I Park, PHARMACIST

Pharmacist in Fort Lee, New Jersey

NPI Number1801484480
Practice location
2182 Lemoine Ave, Fort Lee, NJ 07024-6009
Fax
201-482-4905
Last updated
January 8, 2021

Jeong In Park is a Pharmacist based in Fort Lee, NJ. Jeong In Park practices in Fort Lee, NJ and has the professional credentials of PHARMACIST. The NPI Number for Jeong In Park is 1801484480 and holds a License No. 28RI02461600 (NJ). The current practice location address for Jeong In Park is 2182 Lemoine Ave, Fort Lee, NJ 07024-6009 and can be reached out via phone at 120-154-3864 and via fax at 201-482-4905.

Provider Profile Details

NPI Number
1801484480
Provider Name
Jeong In Park
Credential
PHARMACIST
Provider Entity Type
Individual
Gender
Female
Address
2182 Lemoine Ave, Fort Lee, NJ 07024-6009
Phone Number
120-154-3864
Fax Number
201-482-4905
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
No
Provider Enumeration Date
January 8, 2021
Last Update Date
January 8, 2021
Certification Date
December 30, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
2182 Lemoine Ave
Fort Lee, NJ 07024-6009
Zip
07024-6009
Phone Number
120-154-3864
Fax Number
201-482-4905
Fort Lee, NJ 07024Get directions →

Provider Business Mailing Address Details

Address
2182 Lemoine Ave
Fort Lee, NJ 07024-6009
City
Fort Lee
State
NJ
Zip
07024-6009
Phone Number
201-482-4705
Fax Number
201-482-4905

License Information

License Number
28RI02461600
License State
NJ
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 Jeong I Park, PHARMACIST?

The NPI number of Jeong I Park, PHARMACIST is 1801484480. It was assigned on January 8, 2021 and is currently active in the NPPES registry.

What is the specialty of Jeong I Park, PHARMACIST?

Jeong I Park, PHARMACIST is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in NJ under license number 28RI02461600.

Where does Jeong I Park, PHARMACIST practice?

The practice location is 2182 Lemoine Ave, Fort Lee, NJ 07024-6009. The office can be reached at 120-154-3864 (phone) or 201-482-4905 (fax).

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 1801484480 directly on the NPPES registry website.

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