Active NPIIndividual providerSole proprietor

Ms. Jennifer A Ellis, PHARMD

Pharmacist, Pharmacotherapy in New Bedford, Massachusetts

NPI Number1124163415
Practice location
458 Dartmouth St, New Bedford, MA 02740-1115
Fax
508-996-3779
Last updated
July 8, 2007

Jennifer Anne Ellis is a Pharmacist, Pharmacotherapy based in New Bedford, MA. Jennifer Anne Ellis practices in New Bedford, MA and has the professional credentials of PHARMD. The NPI Number for Jennifer Anne Ellis is 1124163415 and holds a License No. 25983 (MA). The current practice location address for Jennifer Anne Ellis is 458 Dartmouth St, New Bedford, MA 02740-1115 and can be reached out via phone at 508-996-3778 and via fax at 508-996-3779.

Provider Profile Details

NPI Number
1124163415
Provider Name
Jennifer Anne Ellis
Credential
PHARMD
Provider Entity Type
Individual
Gender
Female
Address
458 Dartmouth St, New Bedford, MA 02740-1115
Phone Number
508-996-3778
Fax Number
508-996-3779
Primary Taxonomy
Pharmacist, Pharmacotherapy · 1835P1200X
Sole Proprietor
Yes
Provider Enumeration Date
February 21, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
458 Dartmouth St
New Bedford, MA 02740-1115
Zip
02740-1115
Phone Number
508-996-3778
Fax Number
508-996-3779
New Bedford, MA 02740Get directions →

Provider Business Mailing Address Details

Address
77 Lakeside Ave
North Dartmouth, MA 02747-1512
City
North Dartmouth
State
MA
Zip
02747-1512
Phone Number
774-202-5302
Fax Number
508-996-3779

License Information

License Number
25983
License State
MA
Taxonomy
Pharmacist, Pharmacotherapy · 1835P1200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Jennifer A Ellis, PHARMD?

The NPI number of Ms. Jennifer A Ellis, PHARMD is 1124163415. It was assigned on February 21, 2007 and is currently active in the NPPES registry.

What is the specialty of Ms. Jennifer A Ellis, PHARMD?

Ms. Jennifer A Ellis, PHARMD is registered under the primary taxonomy Pharmacist, Pharmacotherapy (code 1835P1200X), licensed in MA under license number 25983.

Where does Ms. Jennifer A Ellis, PHARMD practice?

The practice location is 458 Dartmouth St, New Bedford, MA 02740-1115. The office can be reached at 508-996-3778 (phone) or 508-996-3779 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124163415 directly on the NPPES registry website.

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