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ELLICOTT CITY PHARMACY INC
NPI 1437902343
Pharmacy - Long Term Care Pharmacy in Ellicott City, MD

Active since April 10, 2024CLIA 21D2118571 · Waiver
10194 BALTIMORE NATIONAL PIKE STE 104, ELLICOTT CITY, MD 21042(410) 750-1951(410) 750-1953 Get Directions Write a Review

NPPES record last updated: April 23, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 23, 2024, Apr 10, 2024 (2 updates tracked since 2024).

About Ellicott City Pharmacy Inc NPPES

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

ELLICOTT CITY PHARMACY INC (NPI 1437902343), doing business as Ellicott City Pharmacy Ltc, is a healthcare organization registered as a long term care pharmacy in Ellicott City, Maryland and active in the NPI registry since April 2024. The organization holds a CLIA Waiver certificate valid through September 11, 2026 and lists Paul J Na, President, as its authorized official.

NPPES Registry Identity

NPI1437902343
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameELLICOTT CITY PHARMACY INC
Location Address10194 BALTIMORE NATIONAL PIKE STE 104Ellicott City, MD 21042-3655
Mailing Address10194 Baltimore National Pike Ste 104Ellicott City, MD 21042-3655 · (410) 750-1951 · Fax (410) 750-1953
Phone(410) 750-1951
Fax(410) 750-1953
Organization SubpartNo
Authorized OfficialPaul J NaPresident · (410) 750-1951
Enumeration DateApril 10, 2024
Last NPPES UpdateApril 23, 20242 updates tracked since enumeration
NPPES CertifiedApril 23, 2024
✔ NPI 1437902343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Also ListedPharmacyTaxonomy 333600000X
10194 BALTIMORE NATIONAL PIKE STE 104, Ellicott City, MD 21042
Open in Google Maps ↗

Other Names 1

Doing Business AsEllicott City Pharmacy Ltc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2118571

Ellicott City Pharmacy · Ellicott City, MD
Active · expires Sep 11, 2026
CLIA Number21D2118571
Laboratory TypePharmacy
Certificate Effective DateSeptember 12, 2024
Certificate Expiration DateSeptember 11, 2026
Laboratory DirectorJungeun J. Kim
Laboratory Phone(410) 750-1951
Laboratory LocationEllicott City Pharmacy9338 Baltimore National Pike #11, Ellicott City, MD 21042
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

ELLICOTT CITY PHARMACY INC
Pharmacy (Community/Retail Pharmacy)
10194 BALTIMORE NATIONAL PIKE STE 104
ELLICOTT CITY, MD 21042
Howard County (410) 750-1951
CHUL HO SHIN PHARMACIST
Pharmacist
10194 BALTIMORE NATIONAL PIKE STE 104
ELLICOTT CITY, MD 21042
Howard County (410) 750-1951

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 Ellicott City Pharmacy Inc's NPI number?

The NPI number for Ellicott City Pharmacy Inc is 1437902343. It was assigned to this organization in the NPPES registry on April 10, 2024. The provider is doing business as Ellicott City Pharmacy LTC.

Where is Ellicott City Pharmacy Inc located?

Ellicott City Pharmacy Inc is located at 10194 Baltimore National Pike Ste 104, Ellicott City, MD 21042. The listed phone number is (410) 750-1951.

What is Ellicott City Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Does Ellicott City Pharmacy Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2118571) is associated with this NPI, valid through September 11, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ellicott City Pharmacy Inc accept?

Health plans from Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans, Baylor Scott and White Health Plan and Blue Cross Blue Shield of North Dakota and 10 other insurers list Ellicott City Pharmacy Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ellicott City Pharmacy Inc was last updated on April 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.