Individual provider Active NPI

Ji Eun Shon

  • Pharmacist
  • Pikesville, MD
National Provider Identifier
1558658229
Registry record updated Jul 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
18497 Issued in MD
Practice address
1737 Reisterstown Rd
T-1541
Pikesville, MD 21208-2907
Phone
(410) 486-4190
Fax
(410) 486-4190
NPI assigned
Jul 1, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 18497 MD Primary

Addresses

Primary practice location

1737 Reisterstown Rd
T-1541
Pikesville, MD 21208-2907

Mailing address

1737 Reisterstown Rd
T-1541
Pikesville, MD 21208-2907
Phone (410) 486-4190

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

NPI Registry JSON

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

{
    "created_epoch": "1309478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309478400000",
    "number": "1558658229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1737 REISTERSTOWN RD",
            "address_2": "T-1541",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212082907",
            "telephone_number": "410-486-4190",
            "fax_number": "410-486-4190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1737 REISTERSTOWN RD",
            "address_2": "T-1541",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212082907",
            "telephone_number": "410-486-4190",
            "fax_number": "410-486-4190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHON",
        "first_name": "JI",
        "middle_name": "EUN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-01",
        "last_updated": "2011-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "18497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikesville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2011; 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.