Ellen F Sprentall-Nankervis, BS, PHARMD

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

License

PS 38354 Issued in FL

Practice address

702 SW 8TH St
Bentonville, AR 72716-6209

Phone

(352) 259-2844

Fax

(352) 259-3317

NPI assigned

Apr 19, 2007

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

Other names 1

• Dr. Ellen F Nankervis Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science, Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315785600000",
    "number": "1265659635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 864",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321580864",
            "telephone_number": "352-259-2844",
            "fax_number": "352-259-3317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 SW 8TH ST",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727166209",
            "telephone_number": "352-259-2844",
            "fax_number": "352-259-3317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRENTALL-NANKERVIS",
        "first_name": "ELLEN",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "BS, PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2011-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "FL",
            "license": "PS 38354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLEN",
            "last_name": "NANKERVIS",
            "middle_name": "F",
            "prefix": "DR.",
            "credential": "BS, PHARMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Springdale- Bentonville HBP Services, LLC
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• Pharmacotherapy Pharmacist in Bentonville, AR
• Providers in Bentonville, AR by specialty
• Pharmacotherapy Pharmacist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2011; 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.