Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1205460847 Individual Practitioner Male Practitioner

Jong Park

Pharmacist • Mount Pleasant, WI

Professional Overview & Biography Verified Profile Summary

Jong Park is a registered healthcare professional specializing in Pharmacist in Mount Pleasant, WI. Practice services are available at 4901 SPRING ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4901 Spring St

Mount Pleasant, WI 534062901

Telephone 2628869643
Associated Practice Facility / Clinic
🏢 Walgreen Co Facility NPI 1205843257

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Mount Pleasant, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
27 Specialists

Practicing in Mount Pleasant, WI (5503 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: 2020-02-22
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License WI 19030-40

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.

Pharmacist

NUCC Taxonomy Code: 183500000X

State License IL 051300909

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

4 Associated Practitioners
Tyler Schultz

Pharmacist

NPI 1265066831
NPI 1336954494

Doctor of Pharmacy (Pharm.D.)

NPI 1386927341

Doctor of Pharmacy (Pharm.D.)

NPI 1467735639

Registered Pharmacist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 22, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location February 22, 2020

Registered at 4901 SPRING ST, MOUNT PLEASANT, WI 534062901 (Tel: 2628869643)

📍
Updated Business Mailing Address February 22, 2020

Registered at 4901 SPRING ST, MOUNT PLEASANT, WI 534062901

👤
Provider Name / Credentials Updated February 22, 2020

Recorded as JONG PARK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 22, 2020

Pharmacist (License #051300909 in IL)

🟢
Initial NPI Registration & Enumeration February 22, 2020

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: 1205460847
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 22, 2020
Last Update: February 22, 2020
Sole Proprietor: No

Mailing Address

4901 Spring St

Mount Pleasant, WI 534062901

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.