Active NPI
Mina Hyemin Shin
- Pharmacist
- Glen Cove, NY
National Provider Identifier
1831437292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 061511
- Practice address
- 206 Glen Cove Ave
Glen Cove, NY 11542 - Phone
- (516) 676-1334
- NPI assigned
- Jan 19, 2013
- Last updated
- May 14, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS48815 | FL | |
| Pharmacist | 183500000X | 061511 | NY | Primary |
Addresses
Primary practice location
206 Glen Cove Ave
Glen Cove, NY 11542
Mailing address
206 Glen Cove Ave
Glen Cove, NY 11542-4191
Phone (516) 676-1334
Other practice location 1
10115 University Blvd
Orlando, FL 32817-1904
Phone (407) 673-1749
Other practice location 2
2873 S Orange Ave
Orlando, FL 32806-5403
Phone (407) 872-0393
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS48815 | FL | MD | Pharmacist |
| 061511 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Albany LLC | Past | Accepting new patients | |
| CVS Albany LLC | 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": "1358553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526256000000",
"number": "1831437292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 GLEN COVE AVE",
"city": "GLEN COVE",
"state": "NY",
"postal_code": "115424191",
"telephone_number": "516-676-1334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 GLEN COVE AVE",
"city": "GLEN COVE",
"state": "NY",
"postal_code": "11542",
"telephone_number": "516-676-1334"
}
],
"practiceLocations": [
{
"address_1": "10115 University Blvd",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328171904",
"country_code": "US",
"telephone_number": "407-673-1749",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2873 S Orange Ave",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328065403",
"country_code": "US",
"telephone_number": "407-872-0393",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHIN",
"first_name": "MINA",
"middle_name": "HYEMIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-19",
"last_updated": "2018-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS48815",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "061511",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Cove, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.