Rose Ellis, R.PH.

Primary specialty

Nutrition Support PharmacistTaxonomy code 1835N1003X

License

30597 Issued in CA

Practice address

1800 N California St
Home Infusion Pharmacy
Stockton, CA 95204-6019

Phone

(209) 461-5486

Fax

(209) 461-6890

NPI assigned

Nov 16, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Rosalie Ellis Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1750363636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 S SUNSET DR",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952405532",
            "telephone_number": "209-595-7147",
            "fax_number": "209-461-6890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 N CALIFORNIA ST",
            "address_2": "HOME INFUSION PHARMACY",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952046019",
            "telephone_number": "209-461-5486",
            "fax_number": "209-461-6890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "ROSE",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-16",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "30597",
            "primary": false
        },
        {
            "code": "1835N1003X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Nutrition Support",
            "state": "CA",
            "license": "30597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIF.  LICENSE NUMBER",
            "identifier": "30597",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSALIE",
            "last_name": "ELLIS",
            "credential": "R.PH.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Christina Ellis
• Courtney Ellis
• Lincoln Douglas Ellis II
• Mia Ellis
• Michael Mario Ellis
• Milana Ellison, MD
• Richard Ellks
• Zana Eltareb
• Dean Elzein, MD
• Malek Weston Emami

• Pharmacist in Stockton, CA
• Providers in Stockton, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.