Organization Active NPI

Ella Community Pharmacy 2, LLC

  • Community/Retail Pharmacy
  • Sheridan, IN
National Provider Identifier
1134645146
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
ELLA COMMUNITY PHARMACY 2, LLC
Practice address
508 E 10TH St
Sheridan, IN 46069
Phone
(317) 758-4171
Fax
(317) 758-4171
NPI assigned
Aug 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Authorized official

Name
Dr. Lindsey Angelotti, PHARMDNPI 1942897202
Title
Pharmacist in Charge
Phone
(317) 758-4171

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
Community/Retail Pharmacy 3336C0003X IN Primary

Addresses

Primary practice location

508 E 10TH St
Sheridan, IN 46069

Mailing address

508 E 10TH St
Sheridan, IN 46069-9188
Phone (317) 758-4171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180716003491 IN Part B Supplier - Mass Immunization (Roster Biller Only) 1658628037 Practice locations: Sheridan, IN
O20180913003403 IN DME Supplier - Pharmacy 1658628037 Practice locations: Sheridan, IN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Ella Community Pharmacy 2 LLC508 E 10TH St, Sheridan, IN 46069-9188(317) 758-4171 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Sup… Accepts assignmentParticipating since Nov 15, 2017

National Provider Directory

National Provider Directory

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": "1503273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597104000000",
    "number": "1134645146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 E 10TH ST",
            "city": "SHERIDAN",
            "state": "IN",
            "postal_code": "460699188",
            "telephone_number": "317-758-4171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 E 10TH ST",
            "city": "SHERIDAN",
            "state": "IN",
            "postal_code": "46069",
            "telephone_number": "317-758-4171",
            "fax_number": "317-758-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLA COMMUNITY PHARMACY 2, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-21",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A",
        "authorized_official_last_name": "ANGELOTTI",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "317-758-4171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheridan, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.