Ellen Adele Phillips, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

10417 Issued in TN

Practice address

5941 Kingston Pike
Knoxville, TN 37919-6344

Phone

(865) 588-0972

Fax

(865) 588-6242

NPI assigned

Mar 13, 2007

Sex

Female

Sole proprietor

No

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

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• K VA T Food Stores Inc

  dba Food City Pharmacy #507

  • Community/Retail Pharmacy
  • Huntsville, AL
  • NPI 1245038512
  NPD (past)

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689707226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 DAWSON CREEK LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379229007",
            "telephone_number": "865-692-1805",
            "fax_number": "865-692-4246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5941 KINGSTON PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379196344",
            "telephone_number": "865-588-0972",
            "fax_number": "865-588-6242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "ELLEN",
        "middle_name": "ADELE",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "10417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darryl Edward Phillips, DDS
• Derek Phillips, PHARMD.
• Dewayne Phillips
• Elexus Phillips
• Elissa Anne Phillips, PT
• Hal Phillips, O.D
• Heather Dawn Phillips, DO
• Hillary Anne Ebling Phillips, M.D.
• Janann Marie Phillips, R.N.
• Jason Alan Phillips, D.D.S.

• Pharmacist in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.