Individual provider Active NPI

Ellen Auten, RPH

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Mount Pleasant, SC
National Provider Identifier
1437409125
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
SC11299 Issued in SC
Practice address
3525 Park Avenue Blvd
Mount Pleasant, SC 29466-7242
Phone
(843) 375-7031
Fax
(843) 375-7022
NPI assigned
Sep 11, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X SC11299 SC Primary
Pharmacist 183500000X 11299 SC

Addresses

Primary practice location

3525 Park Avenue Blvd
Mount Pleasant, SC 29466-7242

Mailing address

3525 Park Avenue Blvd
Mount Pleasant, SC 29466-7242
Phone (843) 375-7031

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

LicenseStateTypeSpecialty
11299SCMDPharmacist
SC11299SCMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI Registry JSON

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

{
    "created_epoch": "1347321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1437409125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 PARK AVENUE BLVD",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294667242",
            "telephone_number": "843-375-7031",
            "fax_number": "843-556-9720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 PARK AVENUE BLVD",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294667242",
            "telephone_number": "843-375-7031",
            "fax_number": "843-375-7022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUTEN",
        "first_name": "ELLEN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-11",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "SC",
            "license": "SC11299",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "11299",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; 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.