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JONG-BEAK PARK R.PH., PH.D.
NPI 1679717144
Pharmacist in Marietta, GA

Active since April 28, 2009
3051 SANDY PLAINS RD, MARIETTA, GA 30066(770) 977-7661 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Oct 21, 2023 (2 updates tracked since 2023).

About Jong-beak Park R.ph., Ph.d. NPPES

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

JONG-BEAK PARK R.PH., PH.D. (NPI 1679717144) is an individual pharmacist in Marietta, Georgia, licensed in Michigan (5302038479) and active in the NPI registry since April 2009.

NPPES Registry Identity

NPI1679717144
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameJONG-BEAK PARKCredential: R.PH., PH.D.
Location Address3051 SANDY PLAINS RDMarietta, GA 30066-4721
Mailing Address3051 Sandy Plains RdMarietta, GA 30066-4721 · (770) 977-7661
Phone(770) 977-7661
Sole ProprietorYes
Enumeration DateApril 28, 2009
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPPES CertifiedOctober 21, 2023
✔ NPI 1679717144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in MI · 5302038479
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.
3051 SANDY PLAINS RD, Marietta, GA 30066
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Other Providers at the Same Location NPPES 6

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

JOHN DOUGLAS BUTGEREIT
Pharmacist
3051 SANDY PLAINS RD
MARIETTA, GA 30066
Cobb County (770) 977-7661
ZENA MENGISTIE
Pharmacist
3051 SANDY PLAINS RD
MARIETTA, GA 30066
Cobb County (770) 977-7661
XAVIER MALAVE PADILLA
Pharmacist
3051 SANDY PLAINS RD
MARIETTA, GA 30066
Cobb County (939) 500-1758
GEORGIA CVS PHARMACY, L.L.C.
Pharmacy
3051 SANDY PLAINS RD
MARIETTA, GA 30066
Cobb County (770) 977-7661
KANAN AMIT PATEL
Pharmacist
3051 SANDY PLAINS RD
MARIETTA, GA 30066
Cobb County (770) 977-7661
SHARI HARLOW-EGGART RPH
Pharmacist
3051 SANDY PLAINS RD
MARIETTA, GA 30066
Cobb County (770) 977-7661

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-beak Park's NPI number?

The NPI number for Jong-beak Park is 1679717144. It was assigned to this individual provider in the NPPES registry on April 28, 2009.

Where is Jong-beak Park located?

Jong-beak Park practices at 3051 Sandy Plains Rd, Marietta, GA 30066. The listed phone number is (770) 977-7661.

What is Jong-beak 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-beak Park was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.