Clinton Ellsworth, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

S022285 Issued in AZ

Practice address

2005 N Dobson Rd
Chandler, AZ 85224-2294

Phone

(480) 812-0063

NPI assigned

Dec 10, 2016

Last updated

Dec 10, 2016By the provider in NPPES

Sex

Male

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

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1481328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481328000000",
    "number": "1366986317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18881 N 71ST LN",
            "address_2": "CLINTON E ELLSWORTH",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853085860",
            "telephone_number": "801-628-6760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 N DOBSON RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852242294",
            "telephone_number": "480-812-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLSWORTH",
        "first_name": "CLINTON",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-10",
        "last_updated": "2016-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S022285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ntozake' D'Onne Kweisi Mfume Ellens-Taylor, BA, RBT
• Elliot Dental Corporation
• Anita W Elliott, DDS
• Ellis I Rogers, D.D.S.
• Hannah Ellis
• Duane Ellsworth, D.O.
• Paige Ellsworth, NP
• Tiffany Ellsworth, RN
• Rebecca M Elmshauser, ATL, ATC
• Dhalia A Elnahas

• Pharmacist in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2016; 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.