Active NPI
Ellen Lynn Hendershot, R.PH.
- Pharmacist
- Evansville, IN
National Provider Identifier
1588947832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26012811
- Practice address
- 925 S Green River Rd
Evansville, IN 47715-4107 - Phone
- (812) 474-0055
- Fax
- (812) 474-0055
- NPI assigned
- Sep 22, 2011
- Last updated
- Sep 22, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26012811 | IN | Primary |
| Pharmacist | 183500000X | 03113043 | OH | |
| Pharmacist | 183500000X | S008262 | AZ |
Addresses
Primary practice location
925 S Green River Rd
Evansville, IN 47715-4107
Mailing address
8127 Washington Ave
Evansville, IN 47715-4550
Phone (812) 401-5825
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
| License | State | Type | Specialty |
|---|---|---|---|
| S008262 | AZ | MD | Pharmacist |
| 26012811 | IN | MD | Pharmacist |
| 03113043 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316649600000",
"number": "1588947832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8127 WASHINGTON AVE",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477154550",
"telephone_number": "812-401-5825",
"fax_number": "812-401-5825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 S GREEN RIVER RD",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477154107",
"telephone_number": "812-474-0055",
"fax_number": "812-474-0055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSHOT",
"first_name": "ELLEN",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-22",
"last_updated": "2011-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26012811",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03113043",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S008262",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Evansville, IN
- Lisa A. Helmerich, NP
- Melanie J Helms, MD
- Help at Home, LLC
- Holly Hemmer, PHARM D
- Jeffrey B Hemmerlein, MD
- Brittany Gail Henderson, DPT
- Marressa Ruth Henderson, PA-C
- Hendricks County Hospital (Parkview Care Center)
- Hendricks County Hospital (Brickyard Healthcare - Woodbridge Care Center)
- Hendricks County Hospital (Brickyard Healthcare - Brentwood Care Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.