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

Yi Park

Individual provider Pharmacist · NPI 1730045287

Yi Park is a Pharmacist in Reston, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2025

Practice location Address checks out

11120 S Lakes Dr
Reston, VA 20191-4327
Phone: (703) 853-9992
Show map & directions

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

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 0202223224 (VA)

Record details

NPI number1730045287
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 29, 2025
Last updated in NPPESDecember 29, 2025
Certification dateDecember 29, 2025
Mailing address9710 Cardinal Rd, Fairfax, VA 22030-1919

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