Individual provider Active NPI

Karen E Johnson-Ellenberger, RPH

  • Pharmacist
  • New Bern, NC
National Provider Identifier
1942594809
Registry record updated Jun 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
008112 Issued in NC
Practice address
3410 Dr M L King Jr Blvd
New Bern, NC 28562-5220
Phone
(252) 638-3021
Fax
(252) 638-3021
NPI assigned
Jun 7, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 008112 NC Primary

Addresses

Primary practice location

3410 Dr M L King Jr Blvd
New Bern, NC 28562-5220

Mailing address

3410 Dr M L King Jr Blvd
New Bern, NC 28562-5220
Phone (252) 638-3021

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
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
008112NCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307404800000",
    "number": "1942594809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 DR M L KING JR BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625220",
            "telephone_number": "252-638-3021",
            "fax_number": "252-638-3021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 DR M L KING JR BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625220",
            "telephone_number": "252-638-3021",
            "fax_number": "252-638-3021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON-ELLENBERGER",
        "first_name": "KAREN",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-07",
        "last_updated": "2011-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "008112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; 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.