Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Dr. Ellison Jinwoo Park, PHARMD
Pharmacist in Randallstown, MD · enumerated 2021.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1053904474
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Registry record
Entity type Individual (Type 1)
Name Dr. Ellison Jinwoo Park
Credential PHARMD
Sex Male
Practice address 9110 Liberty Rd, Randallstown, MD, 21133
Phone (410) 496-8146
Enumeration date Feb 17, 2021
Last updated in NPPES Feb 17, 2021
Taxonomy & licenses
PHARMD · Doctor of Pharmacy: A licensed pharmacist with a professional doctorate in pharmacy.
About the PHARMD credential
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
What is the NPI number for Ellison Park?
The National Provider Identifier (NPI) for Ellison Park is 1053904474, a Type 1 (individual) record in the CMS NPPES registry.
Where does Ellison Park practice?
The practice location on file with NPPES is in Randallstown, MD. Providers can have multiple locations; NPPES lists the primary practice address.
Other providers at this practice address
Browse all → Walgreen Co Pharmacy · Randallstown, MD NPI 1689689861 Freddy Banks Pharmacist · Randallstown, MD NPI 1073894390 Daniel Kiang Pharmacist · Randallstown, MD NPI 1306493853 Catherine Ahmed Community/Retail Pharmacy · Randallstown, MD NPI 1134751316 Jessica Marcelin Pharmacist · Randallstown, MD NPI 1750989661 Walgreen Co. Pharmacy · Randallstown, MD NPI 1568217487 Fatima Uppal Pharmacist · Randallstown, MD NPI 1619799129
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-02-17.