Meagan Ellinger, PHARMD
Individual provider Active NPI Pharmacist · Bath, IN
NPI 1982256657 · NPPES record last updated Jul 12, 2019
Key facts
- NPI
- 1982256657
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 26028183A (IN)
- Practice address
- 2030 Hetrick Rd
Bath, IN 47010-9705 - Phone
- (765) 580-9118
- NPI assigned
- Jul 12, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26028183A | IN | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26028183A | IN | Yes |
Addresses
Primary practice location
2030 Hetrick Rd
Bath, IN 47010-9705
Mailing address
2030 Hetrick Rd
Bath, IN 47010-9705
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.