KYEONG SOO PARK
NPI 1144803818
Pharmacist in Pleasant Prairie, WI

Active since April 30, 2021
7520 118TH AVE, PLEASANT PRAIRIE, WI 53158(262) 857-9484(262) 857-2707 Get Directions Write a Review

NPPES record last updated: April 30, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kyeong Soo Park NPPES

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

KYEONG SOO PARK (NPI 1144803818) is an individual pharmacist in Pleasant Prairie, Wisconsin, licensed in Wisconsin (20554-40) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1144803818
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameKYEONG SOO PARK
Location Address7520 118TH AVEPleasant Prairie, WI 53158-1128
Mailing Address7520 118th AvePleasant Prairie, WI 53158-1128 · (262) 857-9484 · Fax (262) 857-2707
Fax(262) 857-2707
Sole ProprietorNo
Enumeration DateApril 30, 2021
NPPES CertifiedApril 30, 2021
NPI 1144803818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in WI · 20554-40
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.
7520 118TH AVE, Pleasant Prairie, WI 53158

Other Providers at the Same Location NPPES 9

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

Pharmacy
7520 118TH AVE
PLEASANT PRAIRIE, WI 53158
Pharmacist
7520 118TH AVE
PLEASANT PRAIRIE, WI 53158
Pharmacist
7520 118TH AVE
PLEASANT PRAIRIE, WI 53158
Pharmacist
7520 118TH AVE
PLEASANT PRAIRIE, WI 53158
Pharmacist
7520 118TH AVE
PLEASANT PRAIRIE, WI 53158
Pharmacist
7520 118TH AVE
PLEASANT PRAIRIE, WI 53158
Pharmacist
7520 118TH AVE
PLEASANT PRAIRIE, WI 53158
Pharmacist
7520 118TH AVE
PLEASANT PRAIRIE, WI 53158

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 Kyeong Park's NPI number?

The NPI number for Kyeong Park is 1144803818. It was assigned to this individual provider in the NPPES registry on April 30, 2021.

Where is Kyeong Park located?

Kyeong Park practices at 7520 118th Ave, Pleasant Prairie, WI 53158. The listed phone number is (262) 857-9484.

What is Kyeong 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 Kyeong Park was last updated on April 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.