Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jeannie Park

Individual provider Pharmacist · NPI 1639760184

Jeannie Park is a Pharmacist in Chantilly, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2021
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

13704 Black Spruce Way
Chantilly, VA 20151-2345
Phone: (703) 475-4909
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 0202212346 (VA)

Record details

NPI number1639760184
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 28, 2021
Last updated in NPPESJanuary 28, 2021
Certification dateJanuary 28, 2021
Mailing address13704 Black Spruce Way, Chantilly, VA 20151-2345

Other providers in Chantilly