Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. JAE Y PARK RPH
NPI 1699750182
Pharmacist in Los Angeles, CA

Active since December 07, 2005
3307 W PICO BL, LOS ANGELES, CA 90019(323) 734-1177(323) 734-1178 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Jae Y Park Rph NPPES

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

MR. JAE Y PARK RPH (NPI 1699750182) is an individual pharmacist in Los Angeles, California, licensed in California (PHY44525) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1699750182
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMR. JAE Y PARKCredential: RPH
Location Address3307 W PICO BLLos Angeles, CA 90019-4530
Mailing Address3307 W Pico BlLos Angeles, CA 90019-4530 · (323) 734-1177 · Fax (323) 734-1178
Fax(323) 734-1178
Sole ProprietorNo
Enumeration DateDecember 7, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1699750182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in CA · PHY44525
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.
3307 W PICO BL, Los Angeles, CA 90019

Other Identifiers 1

MedicaidPHA 445250CA

Accepted Insurance

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 Jae Park's NPI number?

The NPI number for Jae Park is 1699750182. It was assigned to this individual provider in the NPPES registry on December 7, 2005.

Where is Jae Park located?

Jae Park practices at 3307 W Pico Bl, Los Angeles, CA 90019. The listed phone number is (323) 734-1177.

What is Jae Park's specialty?

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

What insurance does Jae Park accept?

Health plans from BEST Life, HRI Dental & Vision, Humana and Paramount list Jae Park as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jae Park was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days 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.