Active NPI
William David Ellis
- Pharmacist
- Harrisburg, PA
National Provider Identifier
1003138504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP033459R
- Practice address
- 6535 Grayson Rd
Harrisburg, PA 17111-5141 - Phone
- (717) 561-2905
- NPI assigned
- Feb 24, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 034064 | NY | |
| Pharmacist | 183500000X | RP033459R | PA | Primary |
Addresses
Primary practice location
6535 Grayson Rd
Harrisburg, PA 17111-5141
Mailing address
6535 Grayson Rd
Harrisburg, PA 17111-5141
Phone (717) 561-2905
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 034064 | NY | MD | Pharmacist |
| RP033459R | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266969600000",
"number": "1003138504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6535 GRAYSON RD",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171115141",
"telephone_number": "717-561-2905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6535 GRAYSON RD",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171115141",
"telephone_number": "717-561-2905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIS",
"first_name": "WILLIAM",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-24",
"last_updated": "2010-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "034064",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP033459R",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.