Scott John Ellis, RPH,CFO
Individual provider Active NPI Pharmacist · Belhaven, NC
NPI 1811149701 · NPPES record last updated Oct 22, 2008
Key facts
- NPI
- 1811149701
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 09024 (NC)
- Practice address
- 892 US Highway 264 Byp
Belhaven, NC 27810-9771 - Phone
- (252) 943-2585
- Fax
- (252) 943-3076
- NPI assigned
- Oct 22, 2008
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09024 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pungo River Pharmacy Inc | Past | Accepting new patients | |
| Pungo River Pharmacy Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 09024 | NC | Yes |
Addresses
Primary practice location
892 US Highway 264 Byp
Belhaven, NC 27810-9771
Mailing address
892 US Highway 264 Byp
Belhaven, NC 27810-9771
Phone (252) 943-2585
Other providers in Belhaven, NC
- Robert C. Dichiera
- Ann Davis Douglas
- Ashton Bizzell Eakes
- Amie R Elliott
- David Horace Elliott II
- Enc Therapy PC
- Frank R Graybeal Jr.
- Elizabeth Donna Jewell
- Gregory Lee Jones
- Kerr Drug Inc
All providers in Belhaven, NC · Pharmacist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.