Individual provider Active NPI

Elane Endecott, PHARMD

  • Pharmacist
  • Phoenix, AZ
National Provider Identifier
1245616127
Registry record updated Aug 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
S021412 Issued in AZ
Practice address
5330 E Washington St
Phoenix, AZ 85034-2140
Phone
(602) 732-3384
NPI assigned
Aug 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X S021412 AZ Primary

Addresses

Primary practice location

5330 E Washington St
Phoenix, AZ 85034-2140

Mailing address

10 W Minnezona Ave Apt 1091
Phoenix, AZ 85013-4929
Phone (660) 254-0244

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
S021412AZMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1438560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438560000000",
    "number": "1245616127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 W MINNEZONA AVE APT 1091",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134929",
            "telephone_number": "660-254-0244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5330 E WASHINGTON ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850342140",
            "telephone_number": "602-732-3384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENDECOTT",
        "first_name": "ELANE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-03",
        "last_updated": "2015-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S021412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; 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.