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

Jong Park

Individual provider Pharmacist · NPI 1205460847

Jong Park is a Pharmacist in Mount Pleasant, Wisconsin. Licensed in Illinois and Wisconsin. Registered with an NPI since 2020.

Licensed in
IL, WI
In the registry since
2020
Specialties on file
2

Practice location Address checks out

4901 Spring St
Mount Pleasant, WI 53406-2901
Phone: (262) 886-9643
Show map & directions

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

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 19030-40 (WI)
Pharmacist Taxonomy 183500000X · Licence 051300909 (IL)

Record details

NPI number1205460847
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 22, 2020
Last updated in NPPESFebruary 22, 2020
Certification dateFebruary 22, 2020
Mailing address4901 Spring St, Mount Pleasant, WI 53406-2901

Other providers in Mount Pleasant