Active NPI
Voshell'S Pharmacy, Inc
- Community/Retail Pharmacy
- Baltimore, MD
National Provider Identifier
1073508271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- P00941
- Legal business name
- VOSHELL'S PHARMACY, INC
- Doing business as
- VOSHELLS PHARMACY 1
- Practice address
- 3455 Wilkens Ave Ste 103
Baltimore, MD 21229-5204 - Phone
- (410) 644-8400
- Fax
- (410) 368-5110
- NPI assigned
- Sep 13, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Trieu Bao
- Title
- President
- Phone
- (410) 644-8400
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | P00941 | MD | Primary |
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
3455 Wilkens Ave Ste 103
Baltimore, MD 21229-5204
Mailing address
3455 Wilkens Ave Ste 103
Baltimore, MD 21229-5204
Phone (410) 644-8400
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2033789 | Other | PK | |
| 095902200 | Medicaid | MD | |
| 412108200 | Medicaid | MD |
Other names 1
- VOSHELLS PHARMACY 1
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221028002641 | MD | Part B Supplier - Pharmacy | 7810064466 | Practice locations: Baltimore, MD |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Baltimore, MD
- NPI 1932927175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126569600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760054400000",
"number": "1073508271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3455 WILKENS AVE STE 103",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212295204",
"telephone_number": "410-644-8400",
"fax_number": "410-368-5110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3455 WILKENS AVE STE 103",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212295204",
"telephone_number": "410-644-8400",
"fax_number": "410-368-5110"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VOSHELL'S PHARMACY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-13",
"last_updated": "2025-10-10",
"certification_date": "2025-10-10",
"status": "A",
"authorized_official_last_name": "BAO",
"authorized_official_first_name": "TRIEU",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "410-644-8400"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MD",
"license": "P00941",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2033789",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "095902200",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "412108200",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "VOSHELLS PHARMACY 1",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "VOSHELLS PHARMACY 1",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.