P Praxis·MD
● Active Type 1 · Individual

Meekyung Park

Pharmacist·Buford, GA· NPI 1083990048 · Enumerated 2011 · 14 years on NPI
Park is 1 of 5 pharmacist providers in Buford and 1 of 724 in Georgia.
NPI age
14 years
Enumerated 2011-10-22
Primary specialty
Pharmacist
Licensed in
IL
1 state
Status
Active
No deactivations on record
Last NPPES update
2026-04-10
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 724 active pharmacist providers in Georgia.

NPI age
14 years
↑ 8 yr above median (6 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
17% of peers hold subspecialties

NPI lifetime · 2011 → 2026

2011-10Enumerated in NPPES
2011 2026

Where they practice

Practice location
4397 Sudderth Rd
Buford, GA 305188794
📞 6785468442
Mailing address
Psc 305, Camp Waker
Apo, AP 96218

Specialties

  • Pharmacist Primary
    Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
    IL license #051291007 taxonomy 1835P0018X

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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