Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1679397012 Individual Practitioner Male Practitioner

Jaehong Park

Pharmacist • Richardson, TX

Professional Overview & Biography Verified Profile Summary

Jaehong Park is a registered healthcare professional specializing in Pharmacist in Richardson, TX. Practice services are available at 2129 E BELT LINE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2129 E Belt Line Rd

Richardson, TX 750813931

Telephone 9722358417
Associated Practice Facility / Clinic
🏢 Cvs Pharmacy Inc Facility NPI 1760586580

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Richardson, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.5 Yrs
Regional Practice Density
115 Specialists

Practicing in Richardson, TX (18958 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-11-12
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License TX 75059

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Nujuma Ziad

Pharmacist

NPI 1447784822
NPI 1558951509

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 12, 2024

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address November 12, 2024

Registered at 520 SMOKE TREE DR, MURPHY, TX 750945335 (Tel: 3463871196)

📍
Updated Practice Location November 12, 2024

Registered at 2129 E BELT LINE RD, RICHARDSON, TX 750813931 (Tel: 9722358417)

👤
Provider Name / Credentials Updated November 12, 2024

Recorded as JAEHONG PARK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 12, 2024

Pharmacist (License #75059 in TX)

🟢
Initial NPI Registration & Enumeration November 12, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1679397012
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 12, 2024
Last Update: November 12, 2024
Sole Proprietor: Yes

Mailing Address

520 Smoke Tree Dr

Murphy, TX 750945335

Phone: 3463871196

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.