Brian Ellison, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

17342 Issued in NC

Practice address

401 Glenwood Ave # 101
Raleigh, NC 27603

Phone

(919) 856-9502

NPI assigned

Jun 7, 2012

Last updated

Jan 22, 2019By 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

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1699036467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1532 BRADEN OVERLOOK CT",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275024328",
            "telephone_number": "252-996-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 GLENWOOD AVE # 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27603",
            "telephone_number": "919-856-9502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 Hwy 54 Byp",
            "address_2": "UNIT - J",
            "address_purpose": "LOCATION",
            "city": "Carrboro",
            "state": "NC",
            "postal_code": "275101597",
            "country_code": "US",
            "telephone_number": "919-933-7629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLISON",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-07",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "17342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janifer Dorman Ellis, DDS
• Michael Seward Ellis, LCSW
• Ronella N Ellis, MS, LMFT
• Tangela Ellis
• Ellison & Associates of Raleigh PC
• Jenna Ellison, PHD
• Laniya Ellison
• Logan Shontez Ellison, LCMHC
• Matthew David Ellison, M.D.
• Maxlyn Lavie Ellison, MD

• Pharmacist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; 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.