Active NPI
Ashley Ellis, PHARMD
- Pharmacist
- Chattanooga, TN
National Provider Identifier
1093247876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 40587
- Practice address
- 3617 Cherokee Ave
Chattanooga, TN 37412-1105 - Phone
- (423) 645-5598
- NPI assigned
- Mar 30, 2017
- Sex
- Female
- 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 | RPH029369 | GA | |
| Pharmacist | 183500000X | 40587 | TN | Primary |
Addresses
Primary practice location
3617 Cherokee Ave
Chattanooga, TN 37412-1105
Mailing address
3617 Cherokee Ave
Chattanooga, TN 37412-1105
Phone (423) 645-5598
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH029369 | GA | MD | Pharmacist |
| 40587 | TN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490832000000",
"number": "1093247876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3617 CHEROKEE AVE",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374121105",
"telephone_number": "423-645-5598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3617 CHEROKEE AVE",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374121105",
"telephone_number": "423-645-5598"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIS",
"first_name": "ASHLEY",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-30",
"last_updated": "2017-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH029369",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "40587",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.