Jennifer Robin Ellisor, RPH, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

009029 Issued in SC

Practice address

101 Professional Ave
West Columbia, SC 29169-4711

Phone

(803) 794-6440

Fax

(803) 739-1420

NPI assigned

May 9, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy, Registered Pharmacist

State licenses

Practice roles

Locations

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.

• Sunset Pharmacy Inc

  • Community/Retail Pharmacy
  • West Columbia, SC
  • NPI 1902855984
  NPD Authorized official
• Sunset Nursing Supply

  • Institutional Pharmacy
  • West Columbia, SC
  • NPI 1225243074
  NPD

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790999050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 PROFESSIONAL AVE",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291694711",
            "telephone_number": "803-794-6440",
            "fax_number": "803-739-1420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PROFESSIONAL AVE",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291694711",
            "telephone_number": "803-794-6440",
            "fax_number": "803-739-1420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLISOR",
        "first_name": "JENNIFER",
        "middle_name": "ROBIN",
        "name_prefix": "Dr.",
        "credential": "RPH, PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "009029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "009029",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Rummel Counseling LLC
• Kristen Leigh Ellenburg, OTR/L
• Jenna R Elliott, PT
• Todd Brian Elliott, D.M.D.
• Ellis Physical Therapy Associates, Inc
• Walter Gerald Ellisor, RPH
• Howard N Ellstrom, CRNA
• Emeritus Corporation (Lexington Gardens Assisted Living Community)
• Empower Therapy Group
• Johnathan A Engh, MD

• Pharmacist in West Columbia, SC
• Providers in West Columbia, SC by specialty
• Pharmacist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.