Active NPI
Miriam Ellegant, PHARM.D
- Pharmacist
- Memphis, TN
National Provider Identifier
1508148057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 24405
- Practice address
- 3360 N Watkins St
Memphis, TN 38127-6432 - Phone
- (901) 353-4603
- NPI assigned
- Sep 11, 2011
- 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 | 24405 | TN | Primary |
Addresses
Primary practice location
3360 N Watkins St
Memphis, TN 38127-6432
Mailing address
103 Sawyer Cir
Apt 459
Memphis, TN 38103-5950
Phone (901) 230-6234
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 |
|---|---|---|---|
| 24405 | TN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315699200000",
"number": "1508148057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 SAWYER CIR",
"address_2": "APT 459",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381035950",
"telephone_number": "901-230-6234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3360 N WATKINS ST",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381276432",
"telephone_number": "901-353-4603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLEGANT",
"first_name": "MIRIAM",
"name_prefix": "Dr.",
"credential": "PHARM.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-11",
"last_updated": "2011-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "24405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.