Active NPI
Elizabeth Ann Ellison
- Pharmacist
- Horseheads, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 068394
- Practice address
- 2887 Westinghouse Rd
Horseheads, NY 14845-8110 - Phone
- (607) 796-2193
- NPI assigned
- Jul 1, 2022
- Last updated
- Jul 1, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 068394 | NY | Primary |
Addresses
Primary practice location
2887 Westinghouse Rd
Horseheads, NY 14845-8110
Mailing address
1073 Sing Sing Rd Apt B5
Horseheads, NY 14845-1391
Phone (607) 427-6835
Other practice location 1
215 Hoffman St
Elmira, NY 14905-2423
Phone (607) 732-0597
Other practice location 2
98 W Pulteney St
Corning, NY 14830-2260
Phone (607) 936-3233
Other practice location 3
130 S Main St
Elmira, NY 14904-1309
Phone (607) 733-6696
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 068394 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gerould's Professional Pharmacy Inc. | Past | Accepting new patients | |
| Geroulds Professional Pharmacy Inc | Past | Accepting new patients | |
| Gerould's Professional Pharmacy Inc. | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Gerould's Pharmacy #3
- Long Term Care Pharmacy
- Horseheads, NY
- NPI 1548721749
-
- Community/Retail Pharmacy
- Horseheads, NY
- NPI 1972537140
-
dba Gerould's Pharmacy Inc.
- Community/Retail Pharmacy
- Corning, NY
- NPI 1346284197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656633600000",
"number": "1760115349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1073 SING SING RD APT B5",
"city": "HORSEHEADS",
"state": "NY",
"postal_code": "148451391",
"telephone_number": "607-427-6835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2887 WESTINGHOUSE RD",
"city": "HORSEHEADS",
"state": "NY",
"postal_code": "148458110",
"telephone_number": "607-796-2193"
}
],
"practiceLocations": [
{
"address_1": "215 Hoffman St",
"address_purpose": "LOCATION",
"city": "Elmira",
"state": "NY",
"postal_code": "149052423",
"country_code": "US",
"telephone_number": "607-732-0597",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "98 W Pulteney St",
"address_purpose": "LOCATION",
"city": "Corning",
"state": "NY",
"postal_code": "148302260",
"country_code": "US",
"telephone_number": "607-936-3233",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "130 S Main St",
"address_purpose": "LOCATION",
"city": "Elmira",
"state": "NY",
"postal_code": "149041309",
"country_code": "US",
"telephone_number": "607-733-6696",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELLISON",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-01",
"last_updated": "2022-07-01",
"certification_date": "2022-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "068394",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Horseheads, NY
- Shahid Ejaz
- Elcor Health Services, Inc.
- Elcor Health Services, Inc. (Elcor Nursing Home)
- Elcor Operating Company LLC (Elcor Nursing & Rehabilitation Center)
- Elcor Operating Company, LLC
- Elmira Orthopaedic Associates, PC
- Amr M. Elsisi, MD
- John Anthony Emanuel III, DDS
- Emerging Vision Inc (sterling optical)
- Endocrinology Medical PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.