Active NPI
Ellyn Marie Polley, PHARMD
- Pharmacist
- Glenview, IL
National Provider Identifier
1477034288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051.301394
- Practice address
- 2150 Pfingsten Rd Ste B206
Glenview, IL 60026-1361 - Phone
- (847) 657-6864
- NPI assigned
- Aug 29, 2018
- 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 | 051.301394 | IL | Primary |
Addresses
Primary practice location
2150 Pfingsten Rd Ste B206
Glenview, IL 60026-1361
Mailing address
3115 Sable Oaks Rd
Bloomington, IL 61704-4850
Phone (309) 838-0719
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
| License | State | Type | Specialty |
|---|---|---|---|
| 051.301394 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535500800000",
"number": "1477034288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3115 SABLE OAKS RD",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617044850",
"telephone_number": "309-838-0719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 PFINGSTEN RD STE B206",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "600261361",
"telephone_number": "847-657-6864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLLEY",
"first_name": "ELLYN",
"middle_name": "MARIE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-29",
"last_updated": "2018-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.301394",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glenview, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.