Active NPI
Courtney Ellingsworth, RPH
- Pharmacist
- Philadelphia, PA
National Provider Identifier
1386248680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP454478
- Practice address
- 7400 Bustleton Ave
Philadelphia, PA 19152-4312 - Phone
- (267) 350-9481
- NPI assigned
- Nov 26, 2020
- Sex
- Female
- Sole proprietor
- No
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 | RP454478 | PA | Primary |
Addresses
Primary practice location
7400 Bustleton Ave
Philadelphia, PA 19152-4312
Mailing address
8201 Henry Ave Apt P12
Philadelphia, PA 19128-2246
Phone (215) 292-8361
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP454478 | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606348800000",
"number": "1386248680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8201 HENRY AVE APT P12",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191282246",
"telephone_number": "215-292-8361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7400 BUSTLETON AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191524312",
"telephone_number": "267-350-9481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLINGSWORTH",
"first_name": "COURTNEY",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-26",
"last_updated": "2020-11-26",
"certification_date": "2020-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP454478",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.