Ann Elizabeth Ellis, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

03217762 Issued in OH

Practice address

401 W North St
Springfield, OH 45504-2607

Phone

(937) 324-5796

Fax

(937) 322-4516

NPI assigned

Feb 22, 2022

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

Electronic endpoints 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• Rite Aid of Ohio Inc

  dba Rite Aid Pharmacy 03247

  • Community/Retail Pharmacy
  • Springfield, OH
  • NPI 1942319280
  NPD (past)

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

{
    "created_epoch": "1645488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645488000000",
    "number": "1871249490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 S BROADMOOR BLVD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455041158",
            "telephone_number": "937-207-9095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W NORTH ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455042607",
            "telephone_number": "937-324-5796",
            "fax_number": "937-322-4516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "ANN",
        "middle_name": "ELIZABETH",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-22",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03217762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1023028701",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CONNECTURL",
            "affiliation": "N",
            "address_1": "401 W North St",
            "city": "Springfield",
            "state": "OH",
            "country_code": "US",
            "postal_code": "455042607",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CONNECTURL",
            "affiliation": "N",
            "address_1": "401 W North St",
            "city": "Springfield",
            "state": "OH",
            "country_code": "US",
            "postal_code": "455042607",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CONNECTURL",
            "affiliation": "N",
            "address_1": "401 W North St",
            "city": "Springfield",
            "state": "OH",
            "country_code": "US",
            "postal_code": "455042607",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CONNECTURL",
            "affiliation": "N",
            "address_1": "401 W North St",
            "city": "Springfield",
            "state": "OH",
            "country_code": "US",
            "postal_code": "455042607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Laura Eldridge
• Elixir Physical Therapy LLC
• Jaimee Leigh Ellerbrock
• Latricia Elliott
• Leatrice Elliott
• Daniel J Ellis, CDC-A
• Deontrae Marquise Ellis, LICDC
• John E Ellsworth, DC
• Brittany N Elsass, APRN-CNP
• Ilene Simone Embrack, LMT

• Pharmacist in Springfield, OH
• Providers in Springfield, OH by specialty
• Pharmacist in Ohio

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

Verify at the official NPI Registry.