Active NPI
Aletha Poplin Eller, PHARMD
- Pharmacist
- North Wilkesboro, NC
National Provider Identifier
1336472059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14087
- Practice address
- 1395 W D St
North Wilkesboro, NC 28659-3505 - Phone
- (336) 651-2910
- Fax
- (336) 651-2907
- NPI assigned
- Sep 14, 2009
- Last updated
- Mar 27, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 14087 | NC | Primary |
Addresses
Primary practice location
1395 W D St
North Wilkesboro, NC 28659-3505
Mailing address
423 E 2ND St
West Jefferson, NC 28694-9757
Phone (336) 246-9990
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336472059 | Other | NC | PERSONAL NPI |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14087 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Home Town Drug Stores Inc | Current | Accepting new patients | |
| The Jeffersons Drug Stores Inc | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
423 E 2nd St
West Jefferson, NC 28694
Phone (336) 246-9990
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Retail Pharmacy
- West Jefferson, NC
- NPI 1285728097
-
dba Peoples Rexall Drug Store
- Durable Medical Equipment & Medical Supplies
- West Jefferson, NC
- NPI 1619160736
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522108800000",
"number": "1336472059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "423 E 2ND ST",
"city": "WEST JEFFERSON",
"state": "NC",
"postal_code": "286949757",
"telephone_number": "336-246-9990",
"fax_number": "336-246-6069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1395 W D ST",
"city": "NORTH WILKESBORO",
"state": "NC",
"postal_code": "286593505",
"telephone_number": "336-651-2910",
"fax_number": "336-651-2907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLER",
"first_name": "ALETHA",
"middle_name": "POPLIN",
"name_prefix": "Mrs.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-14",
"last_updated": "2018-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "14087",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL NPI",
"identifier": "1336472059",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Wilkesboro, NC
- Ebenezer Christian Childrens Home
- Eckerd Corporation (Rite Aid Pharmacy 11554)
- Ginna Edwards, PA-C
- Elevate Chiropractic and Performance Therapy PLLC
- Angela Shew Elledge, OT/L
- Connie Hall Eller, RN
- Cynthia Randall Eller, NP
- Jennifer Higgins Eller, MA CCC-SLP
- Stephanie Juanita Eller, CADC
- Anesa Elliott
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.