Individual provider Active NPI

Leigh Ellen Elliott, PHARM D

  • Pharmacist
  • Huntsville, AL
National Provider Identifier
1295050359
Registry record updated Apr 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
14646 Issued in AL
Practice address
285 Dunlop Blvd SW Ste a
Huntsville, AL 35824-1120
Phone
(256) 258-0380
Fax
(256) 258-0385
NPI assigned
Apr 1, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 14646 AL Primary
Pharmacist 183500000X 11208 TN

Addresses

Primary practice location

285 Dunlop Blvd SW Ste a
Huntsville, AL 35824-1120

Mailing address

285 Dunlop Blvd SW Ste a
Huntsville, AL 35824-1120
Phone (256) 258-0380

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
11208TNMDSocial Worker
14646ALMDAnesthesiology Physician

NPI Registry JSON

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

{
    "created_epoch": "1270080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270080000000",
    "number": "1295050359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 DUNLOP BLVD SW STE A",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358241120",
            "telephone_number": "256-258-0380",
            "fax_number": "256-258-0385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 DUNLOP BLVD SW STE A",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358241120",
            "telephone_number": "256-258-0380",
            "fax_number": "256-258-0385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "LEIGH",
        "middle_name": "ELLEN",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-01",
        "last_updated": "2010-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "14646",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "11208",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2010; 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.