Active NPI
Sung Bin Ahn, MD
- Pharmacist
- Columbia, MD
National Provider Identifier
1083221394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26747
- Practice address
- 6111 Dobbin Rd
Columbia, MD 21045-2898 - Phone
- (410) 290-1660
- NPI assigned
- Sep 30, 2020
- Last updated
- Sep 30, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26747 | MD | Primary |
Addresses
Primary practice location
6111 Dobbin Rd
Columbia, MD 21045-2898
Mailing address
20405 Mill Pond Ter
Germantown, MD 20876-6031
Phone (267) 231-2214
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26747 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601424000000",
"number": "1083221394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20405 MILL POND TER",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208766031",
"telephone_number": "267-231-2214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6111 DOBBIN RD",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210452898",
"telephone_number": "410-290-1660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHN",
"first_name": "SUNG BIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-30",
"last_updated": "2020-09-30",
"certification_date": "2020-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "26747",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.