MR. LARRY EUGENE ELLIOTT (NPI# 1922373836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922373836 |
| Entity Type | Individual |
| Full Name | MR. LARRY EUGENE ELLIOTT |
| Credential | RPH |
| Practice Address |
1085 Hanes Mall Blvd Winston Salem NC 27103-1310 |
| Practice Telephone | 3369702305 |
| Practice Fax Number | 3369702321 |
| Mailing Telephone | 3369702305 |
| Mailing Fax Number | 3369702321 |
| Enumeration Date | 2012-03-12 |
| Last Update Date | 2012-03-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 05745 | NC | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619401809 | Larry Elliott Jr. | Physical Therapy Assistant | 831 Mcdow Dr, Rock Hill, SC 29732-2415 | 2017-04-14 |
| 1770933277 | Larry Shane Elliott | Student in an Organized Health Care Education/Training Program | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2016-06-15 |
| 1467781351 | Larry Charles Elliott | Pharmacy Technician | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2009-12-23 |
| 1942411707 | Larry F. Elliott | Dentist | 1825 Ne 45th St, Suite B, Ft Lauderdale, FL 33308-5117 | 2007-05-24 |
| 1316059017 | Larry Marcus Elliott | Dentist | 620 Perimeter Dr, Suite 200, Lexington, KY 40517 | 2006-08-31 |
| 1164463360 | Larry Elliott | Emergency Medicine | 332 Congress Park Dr, Dayton, OH 45459-4133 | 2006-06-09 |
| Street Address |
1085 HANES MALL BLVD |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27103-1310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871603407 | Costco Wholesale Corporation | Pharmacy | 1085 Hanes Mall Blvd, Winston Salem, NC 27103-1310 | 2006-08-30 |
| 1164906103 | Shelby Eloise Cahoon | Pharmacist | 1085 Hanes Mall Blvd, Winston Salem, NC 27103-1310 | 2018-09-15 |
| 1588163026 | Phillip Richmond Transou | Pharmacist | 1085 Hanes Mall Blvd, Winston Salem, NC 27103-1310 | 2018-02-11 |
| 1194111674 | Costco Wholesale Corporation | Hearing Aid Equipment | 1085 Hanes Mall Blvd, Winston Salem, NC 27103-1310 | 2015-04-10 |
| 1376937425 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1085 Hanes Mall Blvd, Winston Salem, NC 27103-1310 | 2015-03-26 |
| 1508254244 | Beth W Harris | Optometrist | 1085 Hanes Mall Blvd, Winston Salem, NC 27103-1310 | 2015-01-05 |
| 1952665895 | Jennifer Lynn Ostrander | Pharmacist | 1085 Hanes Mall Blvd, Winston Salem, NC 27103-1310 | 2012-06-26 |
| 1629343231 | John Lowell Koford | Pharmacist | 1085 Hanes Mall Blvd, Winston Salem, NC 27103-1310 | 2012-03-14 |
| 1245513456 | Robert Terrell Pace | Pharmacist | 1085 Hanes Mall Blvd, Winston Salem, NC 27103-1310 | 2011-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
| 1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
| 1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
| 1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
| 1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
| 1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
| 1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
| 1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
| Find all providers in zip 27103 | ||||
| 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 |
|---|---|---|---|---|
| 1437797297 | Jay Amin | Pharmacist | 925 Brannigan Village Dr, Winston Salem, NC 27127-4894 | 2019-12-11 |
| 1447895768 | Alyssa Paige Stewart | Pharmacist | 500 Shepherd St Ste 300, Winston Salem, NC 27103-1633 | 2019-11-11 |
| 1851933048 | Orin L Autry | Pharmacist | 110 Milnor Pl, Winston Salem, NC 27104-1836 | 2019-10-09 |
| 1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
| 1265091607 | Nancy Fitzgerald Myers | Pharmacist | Medical Center Blvd North Tower, Winston Salem, NC 27157-0001 | 2019-06-10 |
| 1447769708 | Jessica Marie Smith | Pharmacist | 1 Medical Center Blvd Department of Pharmacy, Winston Salem, NC 27157-0001 | 2017-09-29 |
| 1255867289 | Benjamin Hansen | Pharmacist | 2150 Country Club Rd Ste 300, Winston Salem, NC 27104 | 2017-05-11 |
| 1831636604 | Brooke Miller Masten | Pharmacist | 3917 Westpoint Blvd Ste A, Winston Salem, NC 27103-6723 | 2017-01-31 |
| 1821453069 | David Michael Vaughan | Pharmacist | 4340 Old Lexington Rd, Winston Salem, NC 27107-9408 | 2015-12-15 |
| 1053728261 | Ashraf Alsaedi | Pharmacist | 1659 Stratford Rd Nw, Winston Salem, NC 27104 | 2014-07-20 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27103 |
Please comment or provide details below to improve the information on MR. LARRY EUGENE ELLIOTT.
| 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.