NPIMap

Organization Active NPI

Voshell'S Pharmacy, Inc

  • Community/Retail Pharmacy
  • Baltimore, MD
National Provider Identifier
1487049896
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
VOSHELL'S PHARMACY, INC
Doing business as
Voshell's Pharmacy
Practice address
3455 Wilkens Ave
Baltimore, MD 21229-5213
Phone
(410) 644-8400
Fax
(410) 368-5110
NPI assigned
Apr 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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

Authorized official

Name
Trieu Bao
Title
Owner
Phone
(410) 644-8400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

3455 Wilkens Ave
Baltimore, MD 21229-5213

Mailing address

3455 Wilkens Ave
Baltimore, MD 21229-5213
Phone (410) 644-8400

Other identifiers 1

IdentifierTypeStateIssuer
095902200MedicaidMD

Other names 1

  • Voshell's Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Voshell'S Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1427932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655164800000",
    "number": "1487049896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 WILKENS AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295213",
            "telephone_number": "410-644-8400",
            "fax_number": "410-368-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 WILKENS AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295213",
            "telephone_number": "410-644-8400",
            "fax_number": "410-368-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOSHELL'S PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-02",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A",
        "authorized_official_last_name": "BAO",
        "authorized_official_first_name": "TRIEU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-644-8400"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "095902200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Voshell's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Voshell's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.