Individual provider · Type 1 NPI

Yi Park

Pharmacist · Reston, VA

NPI number 1730045287 Active

Practice location

11120 S Lakes Dr
Reston, VA 20191-4327

Mailing address

9710 Cardinal Rd
Fairfax, VA 22030-1919

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X0202223224 (VA)

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…

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About NPI 1730045287

Yi Park's National Provider Identifier is 1730045287, issued on Dec 29, 2025. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Reston, VA. The record was last updated on Dec 29, 2025.