Sungmin Shin, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

064967 Issued in NY

Practice address

10401 Northern Blvd
Corona, NY 11368-1134

Phone

(646) 809-9595

Fax

(929) 895-9592

NPI assigned

Feb 19, 2019

Sex

Male

Sole proprietor

No

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

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 and National Provider Directory roles.

• Nova Pharmacy Queens, L.L.C.

  • Community/Retail Pharmacy
  • Corona, NY
  • NPI 1518483940
  NPD (past)
• Ny Northern Pharmacy, LLC

  • Community/Retail Pharmacy
  • Flushing, NY
  • NPI 1598805533
  NPD (past)

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

{
    "created_epoch": "1550534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1639635261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10401 NORTHERN BLVD",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113681134",
            "telephone_number": "646-809-9595",
            "fax_number": "929-895-9592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10401 NORTHERN BLVD",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113681134",
            "telephone_number": "646-809-9595",
            "fax_number": "929-895-9592"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16416 Northern Blvd",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113582647",
            "country_code": "US",
            "telephone_number": "718-445-2470",
            "fax_number": "718-445-3748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIN",
        "first_name": "SUNGMIN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-19",
        "last_updated": "2024-01-08",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "064967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Merna Sedarous
• Sehar Pharmacy, Inc
• Franklin Sencion, MD
• Chand Parveen Parveen Shaik
• Mingma Phuti Sherpa, R.N
• Anna Shuster, LCSW
• Helen Siles, RN
• Singh PT PLLC
• Kushhali Singh, CCC-SLP
• Shander Singletary

• Pharmacist in Corona, NY
• Providers in Corona, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.