JIN WON PARK
NPI 1104385467
Pharmacist in Laurel, MD

Active since March 17, 2019
667 MAIN ST, LAUREL, MD 20707(301) 317-3838(301) 317-3637 Get Directions Write a Review

NPPES record last updated: April 20, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 20, 2019, Mar 17, 2019 (2 updates tracked since 2019).

About Jin Won Park NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JIN WON PARK (NPI 1104385467) is an individual pharmacist in Laurel, Maryland, licensed in Maryland (22887) and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1104385467
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameJIN WON PARK
Location Address667 MAIN STLaurel, MD 20707-4067
Mailing Address667 Main StLaurel, MD 20707-4067 · (301) 317-3838
Fax(301) 317-3637
Sole ProprietorNo
Enumeration DateMarch 17, 2019
Last NPPES UpdateApril 20, 20192 updates tracked since enumeration
NPI 1104385467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in MD · 22887
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
667 MAIN ST, Laurel, MD 20707

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy (Community/Retail Pharmacy)
667 MAIN ST
LAUREL, MD 20707
Pharmacy (Long Term Care Pharmacy)
667 MAIN ST
LAUREL, MD 20707
Pharmacist
667 MAIN ST
LAUREL, MD 20707

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jin Won Park's NPI number?

The NPI number for Jin Won Park is 1104385467. It was assigned to this individual provider in the NPPES registry on March 17, 2019.

Where is Jin Won Park located?

Jin Won Park practices at 667 Main St, Laurel, MD 20707. The listed phone number is (301) 317-3838.

What is Jin Won Park's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Jin Won Park was last updated on April 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.