STEPHANIE KNIGHT ELLIS


Address: 450 Northside Cherokee Blvd, Canton, GA 30115-8015
Phone: 7702219118

STEPHANIE KNIGHT ELLIS (NPI# 1497393268) 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) 1497393268
Entity Type Individual
Full Name STEPHANIE KNIGHT ELLIS
Credential R. PH.
Practice Address 450 Northside Cherokee Blvd
Canton
GA 30115-8015
Mailing Address 4668 Warrington Dr Ne
Roswell
GA 30075-3183
Practice Telephone 7702219118
Mailing Telephone 2293920087
Enumeration Date 2019-12-12
Last Update Date 2019-12-12
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835X0200X Pharmacist
Specialization: Oncology
15726 GA Pharmacy Service Providers

Other Providers STEPHANIE ELLIS

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1578102901 Stephanie Nicole Ellis Speech-Language Pathologist 1101 Museum Rd Ste 7, Conway, AR 72032-8580 2020-01-02
1992147219 Stephanie Rachel Ellis Pharmacist 318 Mall Blvd Ste 100, Savannah, GA 31406-4700 2013-07-28
1609914217 Stephanie Clark Ellis Acupuncturist 110 Creek Locks Rd, Rosendale, NY 12472-9678 2007-02-03
1922617224 Stephanie Lynn Ellis Nurse Practitioner 232 Green St, Williamston, NC 27892-2000 2020-07-23
1942826789 Stephanie Jo Ellis Counselor 1340 Mount Pleasant St, Burlington, IA 52601-2623 2020-06-17
1992351209 Stephanie Ellis Nurse Practitioner 110 Hidden Valley Rd, Mc Murray, PA 15317-2685 2019-08-13
1174007314 Stephanie I Ellis Social Worker 555 Towner St, Ypsilanti, MI 48198-5723 2018-09-24
1760969604 Stephanie Ellis Behavior Technician 1363 Douglas Dr, Traverse City, MI 49696-8980 2018-07-24
1689161879 Stephanie Ellis Pharmacist 7393 Jackson Dr, San Diego, CA 92119-2316 2018-04-13
1982117362 Stephanie Ann Ellis Social Worker 1501 Madison Rd, Walnut Hills, OH 45206-1706 2017-11-08

Office Location

Street Address 450 NORTHSIDE CHEROKEE BLVD
City CANTON
State GA
Zip Code 30115-8015

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295732600 Paul J Hyler Internal Medicine 450 Northside Cherokee Blvd, Canton, GA 30115-8015 2005-06-30
1790390706 Bradley Louis Mccoul Pharmacist 450 Northside Cherokee Blvd, Canton, GA 30115-8015 2020-09-15
1164035747 Candice Caroline Bramlett Pharmacist 450 Northside Cherokee Blvd, Canton, GA 30115-8015 2020-08-25
1336751494 Kalum Leiba Anesthesiologist Assistant 450 Northside Cherokee Blvd, Canton, GA 30115-8015 2020-08-20
1093339533 Tara Talbott Oberman Pharmacist 450 Northside Cherokee Blvd, Canton, GA 30115-8015 2020-06-01
1568085157 Ross W Devantier Specialist/Technologist, Other 450 Northside Cherokee Blvd, Canton, GA 30115-8015 2020-05-19
1427679034 Joseph Liverman Specialist/Technologist, Other 450 Northside Cherokee Blvd, Canton, GA 30115-8015 2020-05-05
1518595503 Erica D Burns Pharmacist 450 Northside Cherokee Blvd, Canton, GA 30115-8015 2020-03-27
1093346066 Emily Beecher Pharmacist 450 Northside Cherokee Blvd, Canton, GA 30115-8015 2020-01-29
1326680620 Ginika Ozor Pharmacist 450 Northside Cherokee Blvd, Canton, GA 30115-8015 2019-10-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497364806 Amanda Arbogast Speech-Language Pathologist 610 Royal Crest Court, Canton, GA 30115 2020-07-31
1033754163 Kelly Marie Shirley Nurse Practitioner 450 Northside Cherokee Blvd., Radiology Dept., Canton, GA 30115 2019-11-13
1700394319 Jennifer Lynn Davenport Nurse Practitioner 684 Sixes Rd Ste 125, Holly Springs, GA 30115 2018-01-17
1851717961 Wal-mart Stores East, Lp Technician/Technologist 2200 Holly Springs Pkey, Holly Springs, GA 30115 2014-03-13
1194148502 Julia Bedingfield Reid Pharmacist 450 Northside Cherokee Blvd Ste T20, Canton, GA 30115 2014-01-22
1447597992 America's Best Contacts & Eyeglasses Technician/Technologist 2030 Cumming Highway, Suite 106, Canton, GA 30115 2013-01-03
1679821193 Jill M Decorso Speech-Language Pathologist 4280 Hickory Flat Hwy, Ste 108, Canton, GA 30115 2012-08-15
1306113378 Sidney Boyd Collier IIi Pharmacist 6111 Hickory Flat Highway, Canton, GA 30115 2011-11-18
1174804702 Rayllensons Itacy Physician Assistant 2020 Cumming Highway, Suite 102, Canton, GA 30115 2011-09-09
1245534346 Kim M. Mcmillan Counselor 154 Lakeside Drive, Canton, GA 30115 2011-01-04
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Taxonomy Information

Taxonomy Code 1835X0200X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Oncology

Taxonomy Definition

A licensed pharmacist who has demonstrated specialized knowledge and skill in developing, recommending, implementing, monitoring, and modifying pharmacotherapeutic plans to optimize outcomes in patients with malignant diseases.
Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366728354 Dhaval Patel Pharmacist 44300 Ford Rd, Canton, MI 48187-3169 2011-10-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1376153585 Rita Ilenre Pharmacist 194 Champion Way, Hiram, GA 30141-5247 2020-08-03
1114461571 Donna Michelle Smith Pharmacist 162 Eastfield Ct, Alpharetta, GA 30005-7506 2016-12-05
1760939920 Katherine Danyo Pharmacist 1581 Windsor Pkwy Ne, Brookhaven, GA 30319-2740 2016-09-06
1073919247 James Lewis Pharmacist 805 Peachtree St Ne, #209, Atlanta, GA 30308-6009 2014-11-14
1740454198 Allison Lindsay Boozer Pharmacist 630 Cobb Pkwy N, Ste A, Marietta, GA 30062-3372 2008-04-16
1801430749 Adam Whitney Gates Pharmacist 1100 Johnson Ferry Rd, Atlanta, GA 30342-1709 2019-11-04
1457859365 Kristina Hazard Pharmacist 750 Townpark Ln Nw, Kennesaw, GA 30144-5579 2018-01-25
1063952752 Kayla Randle Pharmacist 2400 Mount Zion Pkwy, Suite 116, Jonesboro, GA 30236-2500 2017-03-01
1063961852 Yimegnushal Ahmed Ahmed Pharmacist 6300 Hospital Parkway, Duluth, GA 30097 2016-09-22
1073061891 Sima Adlakha Pharmacist 1505 Northside Blvd Ste 4600, Cumming, GA 30041-7658 2016-09-21
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Competitor

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City CANTON
Zip Code 30115

Improve Information

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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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