Active NPI
Gabrielle Ellis
- Pharmacist
- Hope Mills, NC
National Provider Identifier
1891425658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 30862
- Practice address
- 3966 S Main St
Hope Mills, NC 28348-2361 - Phone
- (910) 429-3010
- NPI assigned
- Jun 14, 2022
- Last updated
- Jun 14, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 30862 | NC | Primary |
Addresses
Primary practice location
3966 S Main St
Hope Mills, NC 28348-2361
Mailing address
3966 S Main St
Hope Mills, NC 28348-2361
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30862 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Carolina CVS Pharmacy LLC | Past | Accepting new patients | |
| North Carolina CVS Pharmacy, L.L.C. | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655164800000",
"number": "1891425658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3966 S MAIN ST",
"city": "HOPE MILLS",
"state": "NC",
"postal_code": "283482361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3966 S MAIN ST",
"city": "HOPE MILLS",
"state": "NC",
"postal_code": "283482361",
"telephone_number": "910-429-3010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIS",
"first_name": "GABRIELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-14",
"last_updated": "2022-06-14",
"certification_date": "2022-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "30862",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hope Mills, NC
- Shirley Elbinias-Tan, MD
- Elevated Home Care Services, Inc
- Elitecare of Fayetteville PLLC
- Elliott & Elliott Enterprise,LLP (Cumberland Medical Equipment & Supplies)
- Elliott & Elliott Enterprises (Cumberland Home Health Care)
- Enable LLC
- Chennetha Ephriam
- Sherron R Evans
- Everlasting Care
- Mary Ezzeddine, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.