STEPHANIE ELLIS (NPI# 1689161879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689161879 |
| Entity Type | Individual |
| Full Name | STEPHANIE ELLIS |
| Credential | PHARMD |
| Practice Address |
7393 Jackson Dr San Diego CA 92119-2316 |
| Practice Telephone | 6194656800 |
| Mailing Telephone | 6194656800 |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2018-04-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 51479 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1497393268 | Stephanie Knight Ellis | Pharmacist | 450 Northside Cherokee Blvd, Canton, GA 30115-8015 | 2019-12-12 |
| 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 |
| 1982117362 | Stephanie Ann Ellis | Social Worker | 1501 Madison Rd, Walnut Hills, OH 45206-1706 | 2017-11-08 |
| Street Address |
7393 JACKSON DR |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92119-2316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467497354 | Garfield Beach Cvs LLC | Pharmacy | 7393 Jackson Dr, San Diego, CA 92119-2316 | 2006-06-17 |
| 1053974303 | Nicholas Haddad | Pharmacist | 7393 Jackson Dr, San Diego, CA 92119-2316 | 2019-04-22 |
| 1346776861 | Uyen Samson | Pharmacist | 7393 Jackson Dr, San Diego, CA 92119-2316 | 2017-05-03 |
| 1295100188 | Ruchiben Patel | Pharmacist | 7393 Jackson Dr, San Diego, CA 92119-2316 | 2015-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417462565 | Celena Katherine Wheeler | Behavior Technician | 6965 Golfcrest Dr, San Diego, CA 92119 | 2017-12-12 |
| 1932437969 | Halyna Yevgenivna West | Internal Medicine | 6280 Jackson Drive, Suite #8, San Diego, CA 92119 | 2009-12-02 |
| 1346406303 | Marcel T. Bougher, Dds, Inc | Clinic/Center | 6280 Jackson Drive Suite 1, San Diego, CA 92119 | 2008-07-30 |
| 1316163819 | Mark W Christensen | Dentist | 7187 Navajo Rd., Suite A, San Diego, CA 92119 | 2007-04-17 |
| 1154429306 | Zoe Cristina Suciu | Dentist | 7424 Jackson Dr, #6, San Diego, CA 92119 | 2006-09-20 |
| 1255442448 | Ashley Allen Goodman | Dentist | 8736 Lake Murry Blvd, Ste 108, San Diego, CA 92119 | 2006-08-31 |
| 1811006067 | Ashley A Goodman Dds A Professional Corporation | Dentist | 8736 Lake Murray Blvd, Ste 108, San Diego, CA 92119 | 2006-08-30 |
| 1205943495 | Michael Anthony Stefanidis | Dentist | 7424 Jackson Dr #8, San Diego, CA 92119 | 2006-08-24 |
| 1720003056 | Miranda B Williams | Psychologist | 7290 Navajo Rd Ste 105, San Diego, CA 92119 | 2006-07-13 |
| 1003301391 | Allen Chung | Optometrist | 8312 Lake Murray Blvd Ste C, San Diego, CA 92119 | 2018-06-28 |
| Find all providers in zip 92119 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518567619 | Tarun Krishna Krothapalli | Pharmacist | 500 S Dr Ee Dunlap St Ste C, San Diego, TX 78384-3212 | 2020-10-28 |
| 1831702943 | Hoa Thi Huynh | Pharmacist | 4631 Mount Longs Dr, San Diego, CA 92117-3047 | 2020-08-28 |
| 1750999371 | Andrea D Nishimoto-macedo | Pharmacist | 8243 Westmore Rd, San Diego, CA 92126-2218 | 2020-07-20 |
| 1275141889 | Amina Duh | Pharmacist | 6405 Mira Mesa Blvd, San Diego, CA 92121-4147 | 2020-07-20 |
| 1891312104 | Rupangi Subhashchandra Patel | Pharmacist | 10892 Caminito Alvarez, San Diego, CA 92126-5808 | 2020-07-02 |
| 1700401403 | Sun-yong Park | Pharmacist | 11251 Paseo Montanoso Apt 153, San Diego, CA 92127-5933 | 2020-06-09 |
| 1861014359 | Ha Thanh Truong | Pharmacist | Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 | 2020-05-07 |
| 1235760331 | Farah Alaziz | Pharmacist | 4153 University Ave, San Diego, CA 92105-1421 | 2020-01-28 |
| 1356980429 | Patricia Ann Walsh | Pharmacist | 6725 Mesa Ridge Rd Ste 230, San Diego, CA 92121-2925 | 2020-01-06 |
| 1003455262 | Jennifer Wang | Pharmacist | 12037 Mil Pitrero Rd, San Diego, CA 92128-5281 | 2020-01-04 |
| Find all providers in SAN DIEGO | ||||
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| 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.