YOUNG JAE PARK (NPI# 1578045340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578045340 |
| Entity Type | Individual |
| Full Name | YOUNG JAE PARK |
| Credential | PHARMD |
| Practice Address |
459 Patterson Rd Honolulu HI 96819-1522 |
| Mailing Address |
909 Ala Lilikoi St Apt 408 Honolulu HI 96818-2437 |
| Practice Telephone | 8084333157 |
| Mailing Telephone | 6786021259 |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2018-08-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
RPH029950 | GA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427565761 | Young Lim Park | Acupuncturist | 713 Tangelo Way, Fullerton, CA 92832-2630 | 2018-01-09 |
| 1538396189 | Young Chul Park | Dentist | 6625 Williamson Rd, Roanoke, VA 24019-4631 | 2009-06-22 |
| 1619126281 | Young Park | Chiropractor | 18904 Hwy99 Ste Q, Lynnwood, WA 98036 | 2008-09-18 |
| 1215137971 | Young Seok Park | Acupuncturist | 2016 Grand Ave., Baldwin, NY 11510 | 2007-07-20 |
| 1538370390 | Young Park | Pediatrics | 140 Branchwood Lane, Nanuet, NY 10954 | 2007-05-24 |
| 1568597912 | Young Bae Park | Dentist | 11120 Evergreen Way, #g, Everett, WA 98204-3888 | 2007-02-23 |
| 1255495362 | Young J. Park | Internal Medicine | 2 Wramc, 6900 Georgia Ave. Nw, Washington, DC 20307-0001 | 2006-12-21 |
| 1851455497 | Young Jae Park | Chiropractor | 981 S Western Ave Rm 307, Los Angeles, CA 90006 | 2006-12-20 |
| 1184633950 | Young S Park | General Practice | 2123 Skylane Dr, Naperville, IL 60564-9477 | 2006-08-07 |
| 1235107905 | Young Won Park | Acupuncturist | 215 East Water Street, Muncy, PA 17756-1966 | 2006-03-09 |
| Street Address |
459 PATTERSON RD |
| City | HONOLULU |
| State | HI |
| Zip Code | 96819-1522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982605218 | Yvonne Lynne Geesey | Nurse Practitioner | 459 Patterson Rd, Honolulu, HI 96819-1522 | 2005-08-09 |
| 1316546716 | Cody D Hua | Registered Nurse | 459 Patterson Rd, Honolulu, HI 96819-1522 | 2020-10-19 |
| 1912504234 | Joseph H Koyle | Pharmacist | 459 Patterson Rd, Honolulu, HI 96819-1522 | 2020-10-08 |
| 1164035218 | Shanell Lee Tamayori | Social Worker | 459 Patterson Rd, Honolulu, HI 96819-1522 | 2020-08-28 |
| 1346853991 | Jennifer Reynolds | Dietitian, Registered | 459 Patterson Rd, Honolulu, HI 96819-1522 | 2020-08-24 |
| 1154932374 | Kacy Oshita | Social Worker | 459 Patterson Rd, Honolulu, HI 96819-1522 | 2020-08-11 |
| 1447861877 | Sarah Uto-uko | Social Worker | 459 Patterson Rd, Honolulu, HI 96819-1522 | 2020-08-10 |
| 1356952824 | Tiffany Hee | Social Worker | 459 Patterson Rd, Honolulu, HI 96819-1522 | 2020-08-10 |
| 1487264644 | David James Pawlak | Social Worker | 459 Patterson Rd, Honolulu, HI 96819-1522 | 2020-08-03 |
| 1386254548 | Jeffrey Grace Jr. | Social Worker | 459 Patterson Rd, Honolulu, HI 96819-1522 | 2020-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619507621 | Corrie Sanders | Pharmacist | 450 Patterson Rd, Honolulu, HI 96819 | 2020-01-17 |
| 1245870526 | Ouida Searay Vaillancourt | Dental Hygienist | 339 Mongomery Ave, Honolulu, HI 96819 | 2020-01-14 |
| 1942852660 | Kolea Home Care | In Home Supportive Care | 2229 Kula Kolea Drive, Honolulu, HI 96819 | 2019-07-12 |
| 1164957882 | Kathleen Oliver | Student in an Organized Health Care Education/Training Program | 2229 North School St., Kokua Kalihi Valley Health Center, Honolulu, HI 96819 | 2017-05-01 |
| 1720436058 | Aaron Taniguchi | Physical Therapist | 1740 Ala Aolani St, Honolulu, HI 96819 | 2016-05-26 |
| 1770940892 | Tracy Lynne Khan Fernando | Nurse Practitioner | 2239 N. School St., Kokua Kalihi Valley, Honolulu, HI 96819 | 2016-01-20 |
| 1275961385 | Gavino T. Vinzons M.d, Inc | Family Medicine | 2055 N. King St. Ste 102, Honolulu, HI 96819 | 2013-10-29 |
| 1407195118 | Candace Adeline Schumacher | Licensed Vocational Nurse | 1460 Ala Aolani, Honolulu, HI 96819 | 2013-02-01 |
| 1750629556 | Benjamin L Kilinski | Nurse Practitioner | 1803 Kamehameha Iv Road, Honolulu, HI 96819 | 2013-01-29 |
| 1366701047 | Doreen Anela Oura Ramseyer | Case Manager/Care Coordinator | 1130 N. Nimitz Hwy., C-301, Honolulu, HI 96819 | 2012-05-15 |
| Find all providers in zip 96819 | ||||
| Taxonomy Code | 1835P2201X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Ambulatory Care |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community. |
| Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [7/1/2015: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619507621 | Corrie Sanders | Pharmacist | 450 Patterson Rd, Honolulu, HI 96819 | 2020-01-17 |
| 1053930388 | Debbie Tionquiao | Pharmacist | 888 S King St, Honolulu, HI 96813-3097 | 2020-04-16 |
| 1508485798 | Nadine So | Pharmacist | 888 S King St, Honolulu, HI 96813-3097 | 2020-04-08 |
| 1336768514 | Kara Krista Yamane-obana | Pharmacist | 888 S King St, Honolulu, HI 96813-3097 | 2020-04-08 |
| 1578182747 | Stacie D Sakauye | Pharmacist | 888 S King St, Honolulu, HI 96813-3097 | 2020-04-08 |
| 1477107316 | Courtnee Ho | Pharmacist | 2828 Paa St, Honolulu, HI 96819-4430 | 2019-07-29 |
| 1841643269 | Erika Maile Choy | Pharmacist | 459 Patterson Rd, Honolulu, HI 96819-1522 | 2016-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104316215 | Kevin Craig Glick | Pharmacist | 4491a Kolopa St, Lihue, HI 96766-2034 | 2018-05-14 |
| 1952934499 | Heather Mills Derrick | Pharmacist | 1900 Main St, Wailuku, HI 96793-1900 | 2020-02-12 |
| 1629529805 | Michelle Saori Kim | Pharmacist | 45 Mohouli St Ste 101, Hilo, HI 96720-7210 | 2016-10-21 |
Please comment or provide details below to improve the information on YOUNG JAE PARK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.