JONG PARK
NPI 1205460847
Pharmacist in Mount Pleasant, WI

Active since February 22, 2020
4901 SPRING ST, MOUNT PLEASANT, WI 53406(262) 886-9643 Get Directions Write a Review

NPPES record last updated: February 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jong Park NPPES

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

JONG PARK (NPI 1205460847) is an individual pharmacist in Mount Pleasant, Wisconsin, licensed in Wisconsin (19030-40) and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1205460847
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameJONG PARK
Location Address4901 SPRING STMount Pleasant, WI 53406-2901
Mailing Address4901 Spring StMount Pleasant, WI 53406-2901
Sole ProprietorNo
Enumeration DateFebruary 22, 2020
NPI 1205460847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
Licenses Licensed in WI · 19030-40 Licensed in IL · 051300909
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.
4901 SPRING ST, Mount Pleasant, WI 53406

Other Providers at the Same Location NPPES 7

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

Pharmacy (Community/Retail Pharmacy)
4901 SPRING ST
MOUNT PLEASANT, WI 53406
Pharmacy
4901 SPRING ST
MOUNT PLEASANT, WI 53406
Pharmacist
4901 SPRING ST
RACINE, WI 53406
Pharmacist
4901 SPRING ST
MOUNT PLEASANT, WI 53406
Pharmacist
4901 SPRING ST
MOUNT PLEASANT, WI 53406
Pharmacist
4901 SPRING ST
MOUNT PLEASANT, WI 53406
Pharmacist
4901 SPRING ST
MOUNT PLEASANT, WI 53406

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 Jong Park's NPI number?

The NPI number for Jong Park is 1205460847. It was assigned to this individual provider in the NPPES registry on February 22, 2020.

Where is Jong Park located?

Jong Park practices at 4901 Spring St, Mount Pleasant, WI 53406. The listed phone number is (262) 886-9643.

What is Jong 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 Jong Park was last updated on February 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.