Organization Active NPI

Ella Community Pharmacy 1, LLC

  • Long Term Care Pharmacy
  • Westfield, IN
National Provider Identifier
1083341366
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
ELLA COMMUNITY PHARMACY 1, LLC
Practice address
211 Jersey St
Westfield, IN 46074-9187
Phone
(317) 896-9378
Fax
(317) 896-2731
NPI assigned
Aug 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Authorized official

Name
Erik Angelotti, PHARMD, RPHNPI 1093157026
Title
Owner
Phone
(317) 896-9378

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

211 Jersey St
Westfield, IN 46074-9187

Mailing address

20505 Freemont Moore Rd
Sheridan, IN 46069-9155
Phone (317) 896-9378

Other identifiers 1

IdentifierTypeStateIssuer
300007606MedicaidIN

National Provider Directory

National Provider Directory
Tax ID family
Ella Community Pharmacy 1 LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

211 Jersey St
Westfield, IN 46074
Phone (317) 896-9378

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1659657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702512000000",
    "number": "1083341366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20505 FREEMONT MOORE RD",
            "city": "SHERIDAN",
            "state": "IN",
            "postal_code": "460699155",
            "telephone_number": "317-896-9378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 JERSEY ST",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460749187",
            "telephone_number": "317-896-9378",
            "fax_number": "317-896-2731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLA COMMUNITY PHARMACY 1, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-05",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A",
        "authorized_official_last_name": "ANGELOTTI",
        "authorized_official_first_name": "ERIK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-896-9378",
        "authorized_official_credential": "PHARMD, RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300007606",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.