GERALD ELLIS


Address: 10301 E State Road 37, Fort Wayne, IN 46835-9591
Phone: 2604921333

GERALD ELLIS (NPI# 1487066676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487066676
Entity Type Individual
Full Name GERALD ELLIS
Other Name GERALD ELLIS
Practice Address 10301 E State Road 37
Fort Wayne
IN 46835-9591
Mailing Address 6206 Twisted Oak Ct
Fort Wayne
IN 46835-2649
Practice Telephone 2604921333
Mailing Telephone 2604025429
Enumeration Date 2014-05-22
Last Update Date 2014-05-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835P1200X Pharmacist
Specialization: Pharmacotherapy
26023966A IN Pharmacy Service Providers

Other Providers GERALD ELLIS

NPI Name Taxonomy Address Enumeration
1245377134 Gerald Ellis Pharmacist 676 University Blvd S, Mobile, AL 36609-7866 2007-01-31
1528144425 Gerald Richard Ellis Licensed Psychiatric Technician 12440 Imperial Hwy, 116, Norwalk, CA 90650-3177 2006-10-31

Office Location

Street Address 10301 E STATE ROAD 37
City FORT WAYNE
State IN
Zip Code 46835-9591

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174893978 Meijer Stores Limited Partnership Durable Medical Equipment & Medical Supplies 10301 E State Road 37, Fort Wayne, IN 46835-9591 2012-01-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760993810 Longe Enterprises Corp Eyewear Supplier (Equipment, not the service) 5711 Ymca Park Dr East, Fort Wayne, IN 46835 2017-10-17
1801144464 Tracey Gordon Physical Therapy Assistant 2827 Northgate Boulevard, Fort Wayne, IN 46835 2012-08-29
1316179682 Janet L Daniel Counselor 310 E Dupont Road, Suite 2, Fort Wayne, IN 46835 2009-08-20
1083868863 Nicholas Joseph Sullivan Chiropractor 8320 Chapel Bend Drive, Fort Wayne, IN 46835 2008-11-06
1497922090 Michelle A Bailey Registered Nurse 6108 Maplecrest Road, Fort Wayne, IN 46835 2008-05-13
1073789954 Charles Arthur Bolinger Technician, Other 4546 Maplecrest Rd, Ft Wayne, IN 46835 2008-05-01
1851469878 Richard J Klaehn Optometrist 4536 Maplecrest Road, Ft. Wayne, IN 46835 2006-11-30
1639272339 Hook Superx LLC Durable Medical Equipment & Medical Supplies 6220 St Joseph Center Rd, Fort Wayne, IN 46835 2006-09-07
1275649014 Adrienne Meyer Pharmacist 7909 Brixham Place, Fort Wayne, IN 46835 2006-08-22
1750378147 The Health and Hospital Corporation of Marion County Skilled Nursing Facility 4430 Elsdale Dr, Fort Wayne, IN 46835 2005-09-30
Find all providers in zip 46835

Taxonomy Information

Taxonomy Code 1835P1200X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacotherapy

Taxonomy Definition

A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy.
Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033259197 V E Butler and Associates PC Pharmacist 2700 S. Lafayette St, Communitycare Pharmacy, Fort Wayne, IN 46806-1100 2007-02-07
1669951877 Kristen Elizabeth Christman Pharmacist 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 2018-08-08
1255820163 Timothy Lee Johnston Pharmacist 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 2018-05-07
1134618150 Elizabeth Meisberger Pharmacist 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 2018-05-04
1649702176 Chris Johnson Pharmacist 5909 Illinois Rd, Fort Wayne, IN 46804-1159 2017-04-03
1619359981 Andrew Jason Bergman Pharmacist 6309 Lima Rd, Fort Wayne, IN 46818-1425 2015-06-23
1003228974 Margaret Mcdonald Pharmacist 5909 Illinois Rd, Fort Wayne, IN 46804-1159 2014-05-27
1588076863 Ryan Ades Pharmacist 6309 Lima Rd, Fort Wayne, IN 46818-1425 2014-05-21
1619389095 John Phillip Purvis Pharmacist 6309 Lima Rd, Fort Wayne, IN 46818-1425 2014-05-20
1033521497 Steve Rigdon Pharmacist 10301 Maysville Rd, Fort Wayne, IN 46835-9591 2014-05-20
Find all providers in FORT WAYNE

Competitor

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City FORT WAYNE
Zip Code 46835

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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