Jong Park, PHARM.D., BCPS
NPI 1265804553ActiveIndividual· Pharmacist, Pharmacotherapy· McHenry, IL
Pharmacist, Pharmacotherapy (PHARM.D., BCPS) in McHenry, Illinois, licensed in IL, with an NPI issued in October 2015.
Overview
| NPI | 1265804553 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHARM.D., BCPS |
| Sole proprietor | No |
| NPI issued | Oct 26, 2015 |
| Last updated in NPPES | Oct 26, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist, Pharmacotherapy Primary | 1835P1200X | 051291746 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Pharmacist, Pharmacotherapy providers in McHenry
- 1447662812
- 1417381054
- 1134539869
- 1386079010
- 1528492600
- 1932512308
- 1316210685