Ellis Kudior

Primary specialty

PharmacistTaxonomy code 183500000X

License

03443821 Issued in OH

Practice address

663 E Aurora Rd
Macedonia, OH 44056-2729

Phone

(330) 468-4800

NPI assigned

Nov 8, 2023

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Macedonia, OH
  • NPI 1790790749
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1699401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1073387262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "663 E AURORA RD",
            "city": "MACEDONIA",
            "state": "OH",
            "postal_code": "440562729",
            "telephone_number": "330-468-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "663 E AURORA RD",
            "city": "MACEDONIA",
            "state": "OH",
            "postal_code": "440562729",
            "telephone_number": "330-468-4800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "663 E Aurora Rd",
            "address_purpose": "LOCATION",
            "city": "Macedonia",
            "state": "OH",
            "postal_code": "440562729",
            "country_code": "US",
            "telephone_number": "330-468-4800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUDIOR",
        "first_name": "ELLIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-08",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03443821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Klingensmith
• Ardelia Ann Knight
• Robert Kollar
• Katelyn Mary Kovac
• Cory Joseph Krusinski
• Lauren Beverlee Kusi, PMHNP
• Tiffany Ann Lear, PHARMD
• Laurel Grace Leavitt, DDS
• India Mandella Lee
• Life After Addiction

• Pharmacist in Macedonia, OH
• Providers in Macedonia, OH by specialty
• Pharmacist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.