Active NPI
Benjamin Shin, PHARMD
- Pharmacist
- Middletown, MD
National Provider Identifier
1689269052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 27767
- Practice address
- 400 Middletown Pkwy
Middletown, MD 21769-7760 - Phone
- (301) 371-4100
- NPI assigned
- Mar 7, 2021
- Last updated
- Mar 7, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 27767 | MD | Primary |
Addresses
Primary practice location
400 Middletown Pkwy
Middletown, MD 21769-7760
Mailing address
11125 Chambers CT Unit H
Woodstock, MD 21163-1514
Phone (443) 851-6481
Other practice location 1
1580 Wesel Blvd
Hagerstown, MD 21740-2503
Phone (301) 739-7230
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27767 | MD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maryland CVS Pharmacy LLC | Past | Accepting new patients | |
| Maryland CVS Pharmacy, L.L.C. | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615075200000",
"number": "1689269052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11125 CHAMBERS CT UNIT H",
"city": "WOODSTOCK",
"state": "MD",
"postal_code": "211631514",
"telephone_number": "443-851-6481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 MIDDLETOWN PKWY",
"city": "MIDDLETOWN",
"state": "MD",
"postal_code": "217697760",
"telephone_number": "301-371-4100"
}
],
"practiceLocations": [
{
"address_1": "1580 Wesel Blvd",
"address_purpose": "LOCATION",
"city": "Hagerstown",
"state": "MD",
"postal_code": "217402503",
"country_code": "US",
"telephone_number": "301-739-7230",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHIN",
"first_name": "BENJAMIN",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-03-07",
"last_updated": "2021-03-07",
"certification_date": "2021-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "27767",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Middletown, MD
- Rudman & Kane PA
- Fred Louis Rudman, D.D.S.
- Michael Stephen Rudman, M.D.
- Jennifer Leggieri Schmiel, RD, LDN
- Select Physical Therapy Holdings, Inc. (NovaCare Rehabilitation)
- Joseph Steven Sidney, PHARMACIST
- Bridget Simmons
- South Mountain Counseling Services, LLC
- Jamison Allyn Strachan, LCSW-C
- Samantha C Strine, PHARM.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.