Organization Active NPI

Voshell'S Pharmacy, Inc

  • Community/Retail Pharmacy
  • Baltimore, MD
National Provider Identifier
1073508271
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P00941 Issued in MD
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

Updated by the provider on Oct 10, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2033789OtherPK
095902200MedicaidMD
412108200MedicaidMD

Other names 1

  • VOSHELLS PHARMACY 1 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221028002641 MD Part B Supplier - Pharmacy 7810064466 Practice locations: Baltimore, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.