Charles Ben Ellis, RPH
Individual provider Active NPI Pharmacist · Cashmere, WA
NPI 1659706299 · NPPES record last updated Sep 12, 2013
Key facts
- NPI
- 1659706299
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PH00010252 (WA)
- Practice address
- 119 Cottage Ave
Cashmere, WA 98815-1001 - Phone
- (509) 782-2717
- Fax
- (509) 782-3262
- NPI assigned
- Sep 12, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH00010252 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Pharmacy Inc. | Past | Accepting new patients | |
| Valley Pharmacy Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH00010252 | WA | Yes |
Addresses
Primary practice location
119 Cottage Ave
Cashmere, WA 98815-1001
Mailing address
119 Cottage Ave
Cashmere, WA 98815-1001
Phone (509) 782-2717
Other providers in Cashmere, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.