Ellrie Craig Allen

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH25912 Issued in FL

Practice address

24834 State Road 54
Lutz, FL 33559-6252

Phone

(813) 909-0100

NPI assigned

Mar 22, 2012

Last updated

Mar 22, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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.

• Teca Medical Enterprises Corp

  dba T & C Discount Pharmacy Plus

  • Community/Retail Pharmacy
  • Lutz, FL
  • NPI 1164800298
  Authorized official Same address or phone

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

{
    "created_epoch": "1332374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332374400000",
    "number": "1598031684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8061 SHENANDOAH RUN",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335445434",
            "telephone_number": "813-907-5438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24834 STATE ROAD 54",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335596252",
            "telephone_number": "813-909-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "ELLRIE",
        "middle_name": "CRAIG",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-22",
        "last_updated": "2012-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PH25912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• All Support Servicing LLC
• All Well Pediatrics Group, P.a.
• Daylise Allen-Polidore
• Abbie Allen, MS-SLP
• Courtney Allen, ATC
• Rayford Beauford Allen III, LMT
• Rochelle Cruz Allen, LMT
• Yvrose Y Almicar I
• Alan Scott Alonso, LMHC
• Maday A Alonso, APRN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2012; 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.