Individual provider Active NPI

Chul Ho Shin, PHARMACIST

  • Pharmacist
  • Ellicott City, MD
National Provider Identifier
1902784127
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
29514 Issued in MD
Practice address
10194 Baltimore National Pike Ste 104
Ellicott City, MD 21042-3655
Phone
(410) 750-1951
NPI assigned
Aug 25, 2025
Last updated
Aug 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 29514 MD Primary

Addresses

Primary practice location

10194 Baltimore National Pike Ste 104
Ellicott City, MD 21042-3655

Mailing address

10100 Twin Rivers Rd Apt 323
Columbia, MD 21044-2579
Phone (410) 852-8533

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

LicenseStateTypeSpecialty
29514MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Ellicott City Pharmacy Inc CurrentSince Sep 3, 2025 Accepting new patients
Ellicott City Pharmacy Inc CurrentSince Sep 3, 2025 Accepting new patients

Locations

10194 Baltimore National Pike
Ste 104
Ellicott City, MD 21042
Phone (410) 750-1951

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": "1756080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1902784127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10100 TWIN RIVERS RD APT 323",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442579",
            "telephone_number": "410-852-8533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10194 BALTIMORE NATIONAL PIKE STE 104",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210423655",
            "telephone_number": "410-750-1951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIN",
        "first_name": "CHUL HO",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-25",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "29514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; 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.