Active NPI
Yolanda Renee Ellison, PHARMD
- Pharmacist
- Russellville, AL
National Provider Identifier
1972811453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 001537
- Practice address
- 13150 Highway 43
Russellville, AL 35653-4558 - Phone
- (256) 331-5031
- NPI assigned
- Sep 19, 2010
- 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 | 001537 | AL | Primary |
Addresses
Primary practice location
13150 Highway 43
Russellville, AL 35653-4558
Mailing address
2128 Home Park TRL
Apt 310
Prattville, AL 36066-7885
Phone (334) 707-7015
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001537 | AL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475193600000",
"number": "1972811453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2128 HOME PARK TRL",
"address_2": "APT 310",
"city": "PRATTVILLE",
"state": "AL",
"postal_code": "360667885",
"telephone_number": "334-707-7015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13150 HIGHWAY 43",
"city": "RUSSELLVILLE",
"state": "AL",
"postal_code": "356534558",
"telephone_number": "256-331-5031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLISON",
"first_name": "YOLANDA",
"middle_name": "RENEE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-19",
"last_updated": "2016-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "001537",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Russellville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.