Active NPI
William Ellisor, RPH, PHARMD
- Pharmacist
- Augusta, GA
National Provider Identifier
1598286593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH029815
- Practice address
- 2816 Washington Rd
Augusta, GA 30909-2199 - Phone
- (706) 731-5200
- NPI assigned
- Jun 29, 2017
- Sex
- Male
- 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 | RPH029815 | GA | Primary |
Addresses
Primary practice location
2816 Washington Rd
Augusta, GA 30909-2199
Mailing address
1835 Kissingbower Rd
Augusta, GA 30904-6505
Phone (512) 569-1491
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH029815 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498694400000",
"number": "1598286593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1835 KISSINGBOWER RD",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309046505",
"telephone_number": "512-569-1491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2816 WASHINGTON RD",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309092199",
"telephone_number": "706-731-5200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLISOR",
"first_name": "WILLIAM",
"credential": "RPH, PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-29",
"last_updated": "2017-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH029815",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.