MIN GEON PARK (NPI# 1780938308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780938308 |
| Entity Type | Individual |
| Full Name | MIN GEON PARK |
| Credential | PHARMACIST |
| Practice Address |
2420 Wisteria Dr Snellville GA 30078-6127 |
| Mailing Address |
4761 Bankside Way Norcross GA 30092-5302 |
| Practice Telephone | 7709721592 |
| Mailing Telephone | 7702428961 |
| Enumeration Date | 2012-11-05 |
| Last Update Date | 2012-11-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 019445 | GA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | DRIVER LICENSE | 047855893 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467892570 | Min H Park | Acupuncturist | 33100 Pacific Hwy S Ste 1, Federal Way, WA 98003-6445 | 2013-07-03 |
| 1982996641 | Min Park | Dentist | 270 Marin Blvd Apt 11q, Jersey City, NJ 07302-3680 | 2011-05-12 |
| 1750608451 | Min Park | Acupuncturist | 2001 Deerpark Dr Apt 610, Fullerton, CA 92831-1563 | 2010-04-21 |
| 1730414749 | Min S Park | Neurological Surgery | 1300 Jefferson Park Ave Fl 3, Charlottesville, VA 22903-3363 | 2009-10-08 |
| 1962495572 | Min Seuk Park | Obstetrics & Gynecology | 2681 W Olympic Blvd, Suite 220, Los Angeles, CA 90006-2810 | 2005-08-30 |
| 1861003048 | Min J Park | Pharmacist | 624 Waverley St, Framingham, MA 01702-6981 | 2020-08-12 |
| 1912537846 | Min Park | Pharmacist | 3618 Highway 138 Se, Stockbridge, GA 30281-4171 | 2020-01-20 |
| 1821515560 | Min Park | Occupational Therapist | 9975 Medical Center Dr, Rockville, MD 20850-3316 | 2017-08-24 |
| 1265863328 | Min Park | Pharmacist | 14 N Broadway, Yonkers, NY 10701-2793 | 2013-11-27 |
| 1134414881 | Min Soo Park | Internal Medicine | 620 Shadow Lane, Valley Hospital Medical Center, Las Vegas, NV 89106 | 2011-06-10 |
| Street Address |
2420 WISTERIA DR |
| City | SNELLVILLE |
| State | GA |
| Zip Code | 30078-6127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295089423 | Guillermo Enrique Nunez | Pharmacist | 2420 Wisteria Dr, Kmart 3602, Snellville, GA 30078-6127 | 2012-11-09 |
| 1013948157 | K Mart Corp | Pharmacy | 2420 Wisteria Dr, Snellville, GA 30078-6127 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619594561 | Steven Nguyen | Optometrist | 1905 Scenic Hwy S #1130, Snellville, GA 30078 | 2020-06-26 |
| 1891320776 | Youstina Harkas | Optometrist | 1679 Scenic Hwy S 203, Snellville, GA 30078 | 2020-03-11 |
| 1578101127 | Jwwt Neuoromonitoring, LLC | Psychiatry & Neurology | 1350 Scenic Highway, Suite 266, Snelville, GA 30078 | 2019-12-13 |
| 1679119903 | Lashon Poole Wells | Social Worker | 1350 Scenic Highway Ste 266, 1350 Scenic Highway Ste 266, Snellville, GA 30078 | 2019-11-21 |
| 1427601426 | Aemad Heavenly Joy Senior Homecare & Developmental Disabilities LLC | Registered Nurse | 1350 Scenic Highway Suite #266, Sneville, GA 30078 | 2019-07-18 |
| 1063975548 | Joanne Mcdougal Patterson | Nurse Practitioner | 1350 Scenic Hwy N Ste 226, Snellville, GA 30078 | 2019-04-10 |
| 1689144263 | Israel Branford | Physical Therapist | 1575 Scenic Hwy Ste 100, Snellville, GA 30078 | 2018-11-27 |
| 1902382997 | Brittany Dupree | Dermatology | 2383 Pate Street North, Snellville, GA 30078 | 2018-07-13 |
| 1134610926 | Reid Weston Popple | Dentist | 2992 Stone Mountain Hwy, A100, Snellville, GA 30078 | 2018-05-29 |
| 1326550492 | Optimal Healthcare Services LLC | Clinic/Center | 2121 Fountain Dr Ste F, Snellville, GA 30078 | 2017-10-30 |
| Find all providers in zip 30078 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| 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. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538103 | Agatha Nonye Okoye | Pharmacist | 5300 Bridle Point Pkwy, Snellville, GA 30039-2715 | 2020-11-05 |
| 1396345757 | Parin Patel | Pharmacist | 2912 W Main St, Snellville, GA 30078-3148 | 2020-10-27 |
| 1164041117 | Be Well Pharmacy Consulting LLC | Pharmacist | 3300 Centerville Hwy Ste 901, Snellville, GA 30039-6334 | 2020-04-10 |
| 1851852743 | Abigail Case | Pharmacist | 2463 Waterscape Trl, Snellville, GA 30078-7399 | 2019-03-25 |
| 1508341074 | Ivette Nah Ngum | Pharmacist | 3036 Excelsior Ct, Snellville, GA 30039-6320 | 2018-10-01 |
| 1306322789 | Myrna Danette Mcintosh | Pharmacist | 2942 Moorings Pkwy, Snellville, GA 30039-7314 | 2018-07-18 |
| 1861857864 | Shilpa Durbal | Pharmacist | 1551 Janmar Rd Ste B, Snellville, GA 30078-5606 | 2015-12-18 |
| 1689046922 | Natasha Patel | Pharmacist | 2026 Chambord Way, Snellville, GA 30078-5617 | 2015-10-27 |
| 1750757100 | Thao Trinh | Pharmacist | 1905 Scenic Highway N Ste 4000, Snellville, GA 30039 | 2015-08-19 |
| 1457782088 | Anita Browne | Pharmacist | 4188 Citation Pl, Snellville, GA 30039-5936 | 2013-12-08 |
| Find all providers in SNELLVILLE | ||||
| City | SNELLVILLE |
| Zip Code | 30078 |
Please comment or provide details below to improve the information on MIN GEON 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.