Ellicott City Pharmacy Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

ELLICOTT CITY PHARMACY INC

Doing business as

Ellicott City Pharmacy LTC

Practice address

10194 Baltimore National Pike Ste 104
Ellicott City, MD 21042-3655

Phone

(410) 750-1951

Fax

(410) 750-1953

NPI assigned

Apr 10, 2024

Last updated

Apr 23, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Paul J NA, PHARMDNPI 1144244492

Title

President

Phone

(410) 750-1951

Specialties & licenses 2

Addresses

Other names 1

• Ellicott City Pharmacy LTC Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paul J NA, PHARM D.

  • Pharmacist
  • Columbia, MD
  • NPI 1144244492
  NPD Authorized official
• Chul Ho Shin, PHARMACIST

  • Pharmacist
  • Ellicott City, MD
  • NPI 1902784127
  NPD

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

{
    "created_epoch": "1712707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713830400000",
    "number": "1437902343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10194 BALTIMORE NATIONAL PIKE STE 104",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210423655",
            "telephone_number": "410-750-1951",
            "fax_number": "410-750-1953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10194 BALTIMORE NATIONAL PIKE STE 104",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210423655",
            "telephone_number": "410-750-1951",
            "fax_number": "410-750-1953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLICOTT CITY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-10",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A",
        "authorized_official_last_name": "NA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-750-1951",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ellicott City Pharmacy LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ellicott City Eye Care, Inc.
• Ellicott City Health LLC
• Ellicott City Nursing and Rehab Center LLC (Ellicott City Healthcare Center)
• Ellicott City Pediatric Assoc
• Ellicott City Pediatric Associates, PA
• Ellicott City Pharmacy Inc (Ellicott City Pharmacy)
• Ellicott City Primary Care LLC
• Ellicott City Primary Care Medicine PA
• Ellicott City Total Eye Care LLC
• Ellicott City Wellness Chiropractic, L.L.C.

• Long Term Care Pharmacy in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Long Term Care Pharmacy in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; 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.