Individual provider Active NPI

Johnnie Ellis, PHARM D.

  • Pharmacist
  • Anniston, AL
National Provider Identifier
1376620765
Registry record updated Nov 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
15288 Issued in AL
Practice address
2427 Al Highway 202 Ste a
Anniston, AL 36201-5391
Phone
(256) 237-9426
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 15288 AL Primary

Addresses

Primary practice location

2427 Al Highway 202 Ste a
Anniston, AL 36201-5391

Mailing address

2427 Al Highway 202 Ste a
Anniston, AL 36201-5391
Phone (256) 237-9426

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
15288ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Downey Drug Anniston Current Accepting new patients

Locations

2427 AL Highway 202
Ste A
Anniston, AL 36201
Phone (256) 237-9426

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290384000000",
    "number": "1376620765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2427 AL HIGHWAY 202 STE A",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362015391",
            "telephone_number": "256-237-9426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2427 AL HIGHWAY 202 STE A",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362015391",
            "telephone_number": "256-237-9426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "JOHNNIE",
        "name_prefix": "Dr.",
        "credential": "PHARM D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2010-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "15288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anniston, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.