DR. ELLISON JINWOO PARK PHARMD
NPI 1053904474
Pharmacist in Randallstown, MD

Active since February 17, 2021
9110 LIBERTY RD, RANDALLSTOWN, MD 21133(410) 496-8146 Get Directions Write a Review

NPPES record last updated: February 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ellison Jinwoo Park Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ELLISON JINWOO PARK PHARMD (NPI 1053904474) is an individual pharmacist in Randallstown, Maryland, licensed in Maryland (27818) and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1053904474
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDR. ELLISON JINWOO PARKCredential: PHARMD
Location Address9110 LIBERTY RDRandallstown, MD 21133-3522
Mailing Address3925 Beech Ave Apt 211Baltimore, MD 21211-2254 · (860) 471-4005
Sole ProprietorNo
Enumeration DateFebruary 17, 2021
NPPES CertifiedFebruary 12, 2021
NPI 1053904474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in MD · 27818
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
9110 LIBERTY RD, Randallstown, MD 21133

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
9110 LIBERTY RD
RANDALLSTOWN, MD 21133
Pharmacy (Community/Retail Pharmacy)
9110 LIBERTY RD
RANDALLSTOWN, MD 21133
Pharmacist
9110 LIBERTY RD
RANDALLSTOWN, MD 21133
Pharmacy
9110 LIBERTY RD
RANDALLSTOWN, MD 21133
Pharmacist
9110 LIBERTY RD
RANDALLSTOWN, MD 21133
Pharmacy
9110 LIBERTY RD
RANDALLSTOWN, MD 21133
Pharmacist
9110 LIBERTY RD
RANDALLSTOWN, MD 21133

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ellison Park's NPI number?

The NPI number for Ellison Park is 1053904474. It was assigned to this individual provider in the NPPES registry on February 17, 2021.

Where is Ellison Park located?

Ellison Park practices at 9110 Liberty Rd, Randallstown, MD 21133. The listed phone number is (410) 496-8146.

What is Ellison Park's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Ellison Park was last updated on February 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.