Charles Elliot, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

CA37057 Issued in CA

Practice address

1 Medical Plaza Dr
Sutter Roseville Medical Center Pharmacy
Roseville, CA 95661-3037

Phone

(916) 781-1477

Fax

(916) 781-1255

NPI assigned

Sep 30, 2015

Last updated

Sep 30, 2015By 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": "1443571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443571200000",
    "number": "1487024774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PLAZA DR",
            "address_2": "SUTTER ROSEVILLE MEDICAL CENTER PHARMACY",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613037",
            "telephone_number": "916-781-1477",
            "fax_number": "916-781-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PLAZA DR",
            "address_2": "SUTTER ROSEVILLE MEDICAL CENTER PHARMACY",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613037",
            "telephone_number": "916-781-1477",
            "fax_number": "916-781-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOT",
        "first_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-30",
        "last_updated": "2015-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "CA37057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elevation Support Network Inc.
• Chris Simon Elias, NMT,CPT,SNS
• Erinn Anne Eliason, DNP-NA, CRNA
• Elite Medical Technologies, LLC
• Diana Denise Ellering, CMT
• Alexandra Rose Maureen Elliott
• Sarah D Elliott, PSYD
• Mary Ann Ellis-Jammal, M.D.
• Amy Elizabeth Ellis, MD
• Amy Roskelley Ellis, M.S.

• Pharmacist in Roseville, CA
• Providers in Roseville, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; 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.