Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1639635261 Individual Practitioner Male Practitioner

Dr. Sungmin Shin , PharmD

Pharmacist • Corona, NY

Professional Overview & Biography Verified Profile Summary

Dr. Sungmin Shin, PharmD is a registered healthcare professional specializing in Pharmacist in Corona, NY. Practice services are available at 10401 NORTHERN BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

10401 Northern Blvd

Corona, NY 113681134

Telephone 6468099595
Fax 9298959592
Associated Practice Facility / Clinic
🏢 Julie Pharmacy Inc Facility NPI 1831241181

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Corona, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
56 Specialists

Practicing in Corona, NY (23779 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-03-24
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License NY 064967

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.

Secondary Practice Locations

16416 Northern Blvd

Flushing, NY 113582647

Phone: 7184452470

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Seul Hee Ko

Pharmacist

NPI 1902120330

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location January 08, 2024

Registered at 10401 NORTHERN BLVD, CORONA, NY 113681134 (Tel: 6468099595)

📍
Updated Business Mailing Address January 08, 2024

Registered at 10401 NORTHERN BLVD, CORONA, NY 113681134 (Tel: 6468099595)

📍
Updated Practice Location March 24, 2021

Registered at 31 DEBEVOISE STREET, BROOKLYN, NY 112064196 (Tel: 7187827539)

📍
Updated Business Mailing Address March 24, 2021

Registered at 8 WELWYN ROAD, GREAT NECK, NY 110213545 (Tel: 9178069275)

👤
Provider Name / Credentials Updated March 24, 2021

Recorded as SUNGMIN SHIN, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2021

Pharmacist (License #064967 in NY)

NPI Profile Active February 19, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location February 19, 2019

Registered at 16416 NORTHERN BLVD, FLUSHING, NY 113582647 (Tel: 7184452470)

📍
Updated Business Mailing Address February 19, 2019

Registered at 16416 NORTHERN BLVD, FLUSHING, NY 113582647 (Tel: 7184452470)

👤
Provider Name / Credentials Updated February 19, 2019

Recorded as SUNGMIN SHIN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 19, 2019

Pharmacy (License #027311 in NY)

🟢
Initial NPI Registration & Enumeration February 19, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1639635261
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 19, 2019
Last Update: January 08, 2024
Sole Proprietor: No

Mailing Address

10401 Northern Blvd

Corona, NY 113681134

Phone: 6468099595

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.