Tanara Nicole Ellis

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

03443691 Issued in OH

Practice address

3917 Spring Grove Ave
Cincinnati, OH 45223-3302

Phone

(513) 357-7600

NPI assigned

Sep 18, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1245018605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10716 PRAIRIE LN",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731624046",
            "telephone_number": "405-208-2308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3917 SPRING GROVE AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452233302",
            "telephone_number": "513-357-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "TANARA",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "OH",
            "license": "03443691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Ellis
• Sharda Ellis, LPN
• Shauna Ellis
• Sierra La'Shee Ellis
• Stephanie Lynn Ellis, AGACNP-BC
• Taylor Ellis, PHARMD, RPH
• Tonya M Ellis, PT, DPT
• Vanessa Ellis
• Alyce B Ellison, LPCC
• Joel Benjamin Ellison, M.D.

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Ohio

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