Ellen Eileen Bloom

Primary specialty

PharmacistTaxonomy code 183500000X

License

13496 Issued in MD

Practice address

6636 Ritchie Hwy
Glen Burnie, MD 21061-2317

Phone

(410) 487-0111

Fax

(410) 582-9015

NPI assigned

Nov 5, 2020

Last updated

Jun 6, 2023By the provider in NPPES

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

State licenses

Practice roles

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

• Giant of Maryland LLC

  dba Giant Pharmacy 141

  • Community/Retail Pharmacy
  • Glen Burnie, MD
  • NPI 1013942069
  NPD (past)
• Giant of Maryland LLC

  dba Giant Pharmacy 2312

  • Community/Retail Pharmacy
  • Glen Burnie, MD
  • NPI 1194750141
  NPD (past)
• Giant of Maryland LLC

  dba Giant Pharmacy

  • Community/Retail Pharmacy
  • Parkville, MD
  • NPI 1639938020
  NPD (past)

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

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1316548209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6636 RITCHIE HWY",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210612317",
            "telephone_number": "410-487-0111",
            "fax_number": "410-582-9015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6636 RITCHIE HWY",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210612317",
            "telephone_number": "410-487-0111",
            "fax_number": "410-582-9015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "ELLEN",
        "middle_name": "EILEEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-05",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "13496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katharine A Bisordi, MS, MGC, CGC
• Devin Blackwell
• Michael Blaj, MD
• Danyele Blake
• Karene Bland, ADT
• Blossoms House of Restoration
• Gage Jordan Blottenberger, RDN, LDN
• Blue Whispering Willows Counseling LLC
• Larry Webster Blum, M.D.
• Bna Behavioral Health LLC

• Pharmacist in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Pharmacist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; 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.