Individual provider Active NPI

Elena Nicole Bollinger, PHARMD

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Scottsdale, AZ
National Provider Identifier
1174004816
Registry record updated Sep 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
S023502 Issued in AZ
Practice address
6501 E Greenway Pkwy
Scottsdale, AZ 85254-2025
Phone
(480) 368-7893
NPI assigned
Aug 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X S023502 AZ Primary

Addresses

Primary practice location

6501 E Greenway Pkwy
Scottsdale, AZ 85254-2025

Mailing address

17212 N Scottsdale Rd Apt 2400
Scottsdale, AZ 85255-9623
Phone (724) 504-2684

Other practice location 1

8816 E Pinnacle Peak Rd
Scottsdale, AZ 85255-3636
Phone (480) 473-8965

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

LicenseStateTypeSpecialty
S023502AZMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI Registry JSON

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1174004816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17212 N SCOTTSDALE RD APT 2400",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852559623",
            "telephone_number": "724-504-2684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 E GREENWAY PKWY",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852542025",
            "telephone_number": "480-368-7893"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8816 E Pinnacle Peak Rd",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852553636",
            "country_code": "US",
            "telephone_number": "480-473-8965",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLLINGER",
        "first_name": "ELENA",
        "middle_name": "NICOLE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-21",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "AZ",
            "license": "S023502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; 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.