Megan Taylor Ellenberg, BS
Individual provider Active NPI Pharmacist · Ada, OH
NPI 1124906169 · NPPES record last updated Aug 26, 2025
Key facts
- NPI
- 1124906169
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 060002707 (OH)
- Practice address
- 402 W College Ave
Ada, OH 45810-6099 - Phone
- (937) 313-5487
- NPI assigned
- Aug 26, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 060002707 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio CVS Stores, L.L.C. | Past | Accepting new patients | |
| Ohio CVS Stores LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 060002707 | OH | Yes |
Addresses
Primary practice location
402 W College Ave
Ada, OH 45810-6099
Mailing address
219 Yale Ave
New Lebanon, OH 45345-1322
Phone (937) 313-5487
Other practice location 1
2375 Beechwood Dr
Germantown, OH 45327-9463
Phone (937) 855-7296
Other names
- Megan Taylor Ellenburg
Other providers in Ada, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.