Individual provider Active NPI

Mary Ellen Powell, PHARMD, BCPS, BCSCP

  • Institutional Pharmacy
  • Elizabethtown, KY
National Provider Identifier
1871405340
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Institutional PharmacyTaxonomy code 3336I0012X
License
020766 Issued in KY
Practice address
100 Olive Dr Apt 3C
Elizabethtown, KY 42701-4950
Phone
(920) 390-0765
NPI assigned
Sep 21, 2026
Last updated
Sep 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Institutional Pharmacy 3336I0012X 020766 KY Primary

Addresses

Primary practice location

100 Olive Dr Apt 3C
Elizabethtown, KY 42701-4950

Mailing address

100 Olive Dr Apt 3C
Elizabethtown, KY 42701-4950
Phone (920) 390-0765

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1789948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789948800000",
    "number": "1871405340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 OLIVE DR APT 3C",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427014950",
            "telephone_number": "920-390-0765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 OLIVE DR APT 3C",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427014950",
            "telephone_number": "920-390-0765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "MARY",
        "middle_name": "ELLEN",
        "credential": "PHARMD, BCPS, BCSCP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-21",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "KY",
            "license": "020766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.