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Jong Youn Park

Pharmacist β€’ Cambridge, MA

Active NPI 1194280974 Individual Practitioner Male Practitioner
Practice location in NPPES

163 Gore St
Cambridge, MA 021411119

Call 6174996690 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

163 Gore St

Cambridge, MA 021411119

Telephone 6174996690
Organization at the Same NPPES Address or Phone
Cambridge Public Health Commission Facility NPI 1225083785

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Cambridge and Massachusetts

201 active clinicians are listed under Pharmacist with a practice address in Cambridge, MA (5,935 in Massachusetts).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Cambridge

0% of these 201 clinicians have the CMS telehealth indicator.

0% of these 201 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-10-20
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

License # reported to NPPES MA PH237724

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, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Massachusetts Board of Registration in Medicine.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

9 listed
John Ahern

Family Medicine

NPI 1699397141
Dr. Julia Breton , MD

Family Medicine - Geriatric Medicine

NPI 1912267915

Doctor of Medicine (M.D.)

NPI 1407054984

Doctor of Medicine (M.D.), Master of Public Health

Patricia Green Cameron , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1689209397

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Kevin Hughes

Physician Assistant

NPI 1578930970
Rebecca Joyce , APRN-BC

Nurse Practitioner

NPI 1053366450

APRNBC

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location October 20, 2025

Registered at 163 GORE ST, CAMBRIDGE, MA 021411119 (Tel: 6174996690)

πŸ“
Updated Business Mailing Address October 20, 2025

Registered at 163 GORE ST, CAMBRIDGE, MA 021411119 (Tel: 6174996690)

πŸ“
Updated Practice Location November 22, 2020

Registered at 19 DODGE ST, BEVERLY, MA 019151705 (Tel: 9789270060)

πŸ“
Updated Business Mailing Address November 22, 2020

Registered at 19 DODGE ST, BEVERLY, MA 019151793 (Tel: 9789270060)

βœ…
NPI Profile Active February 05, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 05, 2019

Registered at 99 WESTFIELD ST, WEST SPRINGFIELD, MA 010892550 (Tel: 4137376523)

πŸ“
Business Mailing Address (Initial Record) February 05, 2019

Registered at 16 PRESCOTT ST APT 5, CAMBRIDGE, MA 021383934 (Tel: 6177945901)

πŸ‘€
Provider Name / Credentials (Initial Record) February 05, 2019

Recorded as JONG YOUN PARK

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 05, 2019

Pharmacist (license number reported to NPPES: MA PH237724)

🟒
Initial NPI Registration & Enumeration February 05, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1194280974
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 05, 2019
Last Update: October 20, 2025
Sole Proprietor: No

Other Pharmacists in Cambridge

All Pharmacists in Cambridge

Mailing Address

163 Gore St

Cambridge, MA 021411119

Phone: 6174996690

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.