Elliotts Pharmacy Inc.

Primary specialty

Home Infusion Therapy PharmacyTaxonomy code 3336H0001X

License

PHY46239 Issued in CA

Legal business name

ELLIOTTS PHARMACY INC.

Practice address

4835 El Camino Real
Atascadero, CA 93422-2759

Phone

(805) 460-2609

Fax

(805) 460-2611

NPI assigned

Jul 12, 2006

Organization subpart

No

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

Authorized official

Name

Ashe Wahba

Title

Owner

Phone

(805) 460-2614

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Elliotts Pharmacy Inc2 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.

• Elliotts Pharmacy Inc.

  • Durable Medical Equipment & Medical Supplies
  • Atascadero, CA
  • NPI 1790721793
  NPD tax ID

Locations

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710902705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4835 EL CAMINO REAL",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934222759",
            "telephone_number": "805-460-2609",
            "fax_number": "805-460-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4835 EL CAMINO REAL",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934222759",
            "telephone_number": "805-460-2609",
            "fax_number": "805-460-2611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIOTTS PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WAHBA",
        "authorized_official_first_name": "ASHE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-460-2614"
    },
    "taxonomies": [
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "CA",
            "license": "PHY46239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA462390",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Antonieta Soria Echard, NP
• Tayler Nicole Edwards
• Molly Anne Eisen-Kearns, LCSW
• El Camino Homeless Organization
• Cindy Kang Elliott, M.D.
• Elliotts Pharmacy Inc.
• Izabella Ellis
• Anas Elsaid, M.D
• Todd Stuart Elwyn, M.D.
• David C Emelity, MD

• Home Infusion Therapy Pharmacy in Atascadero, CA
• Providers in Atascadero, CA by specialty
• Home Infusion Therapy Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.