CHI Su Ham, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

28138 Issued in MD

Practice address

901 Harry S Truman Dr N
Largo, MD 20774-5477

Phone

(240) 667-1000

NPI assigned

Oct 18, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ellicott City Pharmacy Inc

  • Community/Retail Pharmacy
  • Ellicott City, MD
  • NPI 1497041768
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1225791106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10819 TIMBER LINE LN",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210422092",
            "telephone_number": "443-878-4193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 HARRY S TRUMAN DR N",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207745477",
            "telephone_number": "240-667-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9338 Baltimore National Pike Ste 11",
            "address_purpose": "LOCATION",
            "city": "Ellicott City",
            "state": "MD",
            "postal_code": "210422805",
            "country_code": "US",
            "telephone_number": "410-750-1951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAM",
        "first_name": "CHI",
        "middle_name": "SU",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-18",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "28138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Milkessa Temesgen Gurmessa, MD
• George M. Guschwan, LCSW-C
• Mychelle Serwah Gyamfi, PHARMD
• Valerie Haley, CRNP-PMH
• Christopher Thomas Hall
• Hamilton Medical & Associates
• Billie Hamilton-Powell, RN,PA-C, CNM
• Jacqueline Denise Hamilton
• Hand-in-Hand Support Services LLC.
• Davida Harper

• Pharmacist in Largo, MD
• Providers in Largo, MD by specialty
• Pharmacist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.