NPI age
13 years
Enumerated 2012-11-05
● Active
Type 1 · Individual
Min Geon Park, PHARMACIST
Park is 1 of 72 pharmacist providers in Snellville and 1 of 8384 in Georgia.
Primary specialty
Pharmacist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2012-11-05
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 8384 active pharmacist providers in Georgia.
NPI age
13 years
↑ 4 yr above median (9 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
10% of peers hold subspecialties
NPI lifetime · 2012 → 2026
2012-11Enumerated in NPPES
2012
2026
Where they practice
Practice location
2420 Wisteria Dr
Snellville, GA 300786127
Mailing address
4761 Bankside Way
Norcross, GA 300925302
Specialties
-
Pharmacist PrimaryAn 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,...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 047855893 | DRIVER LICENSE |
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.