Ellouise Mildred Dodge, RPH

Primary specialty

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

License

42946 Issued in TX

Practice address

901 E Pioneer Pkwy
Arlington, TX 76010-5856

Phone

(817) 277-4463

Fax

(817) 795-6458

NPI assigned

Aug 18, 2020

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

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• CVS Pharmacy Inc

  • Pharmacy
  • Stafford, TX
  • NPI 1427931351
  NPD (past)
• CVS Pharmacy Inc

  • Pharmacy
  • Arlington, TX
  • NPI 1649377045
  NPD (past)

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1336751668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E PIONEER PKWY",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760105856",
            "telephone_number": "817-277-4463",
            "fax_number": "817-795-6458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 E PIONEER PKWY",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760105856",
            "telephone_number": "817-277-4463",
            "fax_number": "817-795-6458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODGE",
        "first_name": "ELLOUISE",
        "middle_name": "MILDRED",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-18",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "TX",
            "license": "42946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany DO
• Linh Doan-Pham, DO
• Linh N Doan, RPH
• Wendy Huyen Doan, DC
• Christy Sharee Dobbs, M.S., LPC-I
• Marilyn Domangue, FNP-C
• Joann Dominguez, PA-C
• Rocio Maribel Dominguez, M.S., CF-SLP
• Dominion 1 Dental Dental Group PLLC
• Dominion 1 Dental Group PLLC

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Arlington, TX
• Providers in Arlington, TX by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; 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.