Organization Active NPI

Elleys Pharmacy

  • Pharmacy
  • Buckner, MO
National Provider Identifier
1861476426
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
027748 Issued in MO
Legal business name
ELLEYS PHARMACY
Practice address
306 S Hudson St
Buckner, MO 64016-8142
Phone
(816) 650-5611
Fax
(816) 650-5611
NPI assigned
Dec 6, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. William Russell Elley, RPH
Title
RPH/Owner
Phone
(816) 650-5611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 027748 MO Primary

Addresses

Primary practice location

306 S Hudson St
Buckner, MO 64016-8142

Mailing address

306 S Hudson St
Buckner, MO 64016-8142
Phone (816) 650-5611

National Provider Directory

National Provider Directory
Tax ID family
Elleys Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861476426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 S HUDSON ST",
            "city": "BUCKNER",
            "state": "MO",
            "postal_code": "640168142",
            "telephone_number": "816-650-5611",
            "fax_number": "816-650-5611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 S HUDSON ST",
            "city": "BUCKNER",
            "state": "MO",
            "postal_code": "640168142",
            "telephone_number": "816-650-5611",
            "fax_number": "816-650-5611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLEYS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELLEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "RPH/OWNER",
        "authorized_official_telephone_number": "816-650-5611",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MO",
            "license": "027748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buckner, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.