Mackenzie Ellis, PHARMACIST

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS67854 Issued in FL

Practice address

5896 Cortez Rd W
Bradenton, FL 34210-2703

Phone

(941) 792-3817

NPI assigned

Nov 12, 2024

Sex

Female

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

State licenses

Practice roles

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.

• Walgreen Co

  • Pharmacy
  • Bradenton, FL
  • NPI 1184630584
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1731369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1497579908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5896 CORTEZ RD W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342102703",
            "telephone_number": "941-792-3817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5896 CORTEZ RD W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342102703",
            "telephone_number": "941-792-3817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "MACKENZIE",
        "name_prefix": "Dr.",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-12",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS67854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Hakan Ellingboe
• Christina Elliott, PHARMD
• Britnie Ellis
• Deva Marie Ellis, APRN
• James Morton Ellis, DDS
• Ranae S. Ellis
• David Charles Ellner, RN, BCEN, CVRN
• Maha Salama Ahmed Elmaghrabi
• Aiden James Elmore
• Nazik H Elrayah, D.D.S

• Pharmacist in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.