MS. SEON JUNG SHELLY PARK
NPI 1659556819
Pharmacist in New York, NY

Active since January 07, 2008
67 BROAD ST, NEW YORK, NY 10004(212) 943-3690(212) 425-1945 Get Directions Write a Review

NPPES record last updated: September 28, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Seon Jung Shelly Park NPPES

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

MS. SEON JUNG SHELLY PARK (NPI 1659556819) is an individual pharmacist in New York, New York, licensed in New York (046554) and active in the NPI registry since January 2008.

NPPES Registry Identity

NPI1659556819
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameMS. SEON JUNG SHELLY PARK
Location Address67 BROAD STNew York, NY 10004-2415
Mailing Address18930 37th Ave, Unit BFlushing, NY 11358-2302 · (646) 262-5161
Fax(212) 425-1945
Sole ProprietorNo
Enumeration DateJanuary 7, 2008
Last NPPES UpdateSeptember 28, 2015
NPI 1659556819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in NY · 046554
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.
67 BROAD ST, New York, NY 10004

Other Identifiers 1

Medicaid01993824NY

Other Providers at the Same Location NPPES 2

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

Pharmacy
67 BROAD ST
NEW YORK, NY 10004
Pharmacist
67 BROAD ST
NEW YORK, NY 10004

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 Seon Jung Shelly Park's NPI number?

The NPI number for Seon Jung Shelly Park is 1659556819. It was assigned to this individual provider in the NPPES registry on January 7, 2008.

Where is Seon Jung Shelly Park located?

Seon Jung Shelly Park practices at 67 Broad St, New York, NY 10004. The listed phone number is (212) 943-3690.

What is Seon Jung Shelly 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 Seon Jung Shelly Park was last updated on September 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.