Kendra Ellis, PHARMD

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

PS47818 Issued in FL

Practice address

2290 Premier Row
Orlando, FL 32809-6212

Phone

(813) 770-3472

NPI assigned

Sep 18, 2015

Last updated

Jul 22, 2016By the provider in NPPES

Sex

Female

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

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.

• Nyan Cares Corp

  • Community/Retail Pharmacy
  • Tampa, FL
  • NPI 1720994429
  Authorized official Same address or phone

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

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469145600000",
    "number": "1780053884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 310384",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336800384",
            "telephone_number": "813-770-3472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2290 PREMIER ROW",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328096212",
            "telephone_number": "813-770-3472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "KENDRA",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-18",
        "last_updated": "2016-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "FL",
            "license": "PS47818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Ellis, AGAC-NP-BC
• Elizabeth Gilbert Ellis
• Emily Ellis, PA
• George Frederick Ellis, MD
• Keisha Ellis, NP
• Lashanda Ellis, MSW
• Maleeka Monique Ellis, RRT
• Rachel Lynn Annette Ellis, PHYSICAL THERAPIST
• Sarah Chliyah Ellis, PA-C
• Florencio Vallejos Ello, M.D.

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Orlando, FL
• Providers in Orlando, FL by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2016; 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.