What is Jongho Park's NPI number?

Jongho Park's National Provider Identifier (NPI) is 1043857162, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jongho Park's specialty?

Jongho Park is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).

Where is Jongho Park located?

Jongho Park's practice location on file with NPPES is 442 Las Gallinas Ave, San Rafael, CA 94903-3618.

What is Jongho Park's phone number?

The practice phone number listed in the NPPES registry for Jongho Park is (415) 479-9171.

Is Jongho Park's NPI active?

Yes — Jongho Park's NPI (1043857162) is active in the NPPES registry as of the last update on 2019-12-09.

IndividualActive

Jongho Park

NPI 1043857162 · Pharmacist · San Rafael, CA

Jongho Park is a Pharmacist provider in San Rafael, CA (NPI 1043857162).

Provider details

NPI number: 1043857162
Entity type: Individual
Primary specialty: PharmacistPharmacy Service Providers
Sex: Male
Sole proprietor: Yes
License: RPH81423 (CA)

Specialties & taxonomies

PharmacistPrimary183500000XLicense RPH81423 (CA)
Pharmacy Service Providers

Profile Score

Established profile(65/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
6 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

442 Las Gallinas Ave

San Rafael, CA 94903-3618

Phone: (415) 479-9171

Street-level locationGet directions

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Mailing address