Active NPI
Woobum Han
- Pharmacist
- Eldersburg, MD
National Provider Identifier
1174130025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 27212
- Practice address
- 6040 Sykesville Rd
Eldersburg, MD 21784-6000 - Phone
- (410) 781-4720
- NPI assigned
- Sep 24, 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 | 27212 | MD | Primary |
Addresses
Primary practice location
6040 Sykesville Rd
Eldersburg, MD 21784-6000
Mailing address
9266 Crazyquilt CT
Columbia, MD 21045-5300
Phone (410) 615-6504
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27212 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600905600000",
"number": "1174130025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9266 CRAZYQUILT CT",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210455300",
"telephone_number": "410-615-6504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6040 SYKESVILLE RD",
"city": "ELDERSBURG",
"state": "MD",
"postal_code": "217846000",
"telephone_number": "410-781-4720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAN",
"first_name": "WOOBUM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-24",
"last_updated": "2020-09-24",
"certification_date": "2020-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "27212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eldersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.