Organization Active NPI

Ella Community Pharmacy 1, LLC

  • Community/Retail Pharmacy
  • Westfield, IN
National Provider Identifier
1679090195
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
ELLA COMMUNITY PHARMACY 1, LLC
Practice address
211 Jersey St
Westfield, IN 46074-9187
Phone
(317) 896-9378
NPI assigned
Aug 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Erik AngelottiNPI 1093157026
Title
Pharmacist in Charge
Phone
(317) 896-9378

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

211 Jersey St
Westfield, IN 46074-9187

Mailing address

508 E 10TH St
Sheridan, IN 46069-9188
Phone (317) 896-9378

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180530002142 IN DME Supplier - Pharmacy 7214292929 Practice locations: Westfield, IN
O20180808002240 IN Part B Supplier - Mass Immunization (Roster Biller Only) 7214292929 Practice locations: Westfield, IN

National Provider Directory

National Provider Directory
Tax ID family
Ella Community Pharmacy 1 LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

508 E 10th St
Sheridan, IN 46069
Phone (317) 758-4171

211 Jersey St
#1
Westfield, IN 46074
Phone (317) 896-9378

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1503619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1679090195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 E 10TH ST",
            "city": "SHERIDAN",
            "state": "IN",
            "postal_code": "460699188",
            "telephone_number": "317-896-9378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 JERSEY ST",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460749187",
            "telephone_number": "317-896-9378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLA COMMUNITY PHARMACY 1, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-25",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "ANGELOTTI",
        "authorized_official_first_name": "ERIK",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "317-896-9378",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.