National Provider Identifier
John S Ellis
John S Ellis is listed in the NPPES registry with a primary specialty of Pharmacist in Newark, NY and a listed phone number of (315) 332-0193.
Profile Overview
- NPI
- 1225219959
- Provider Type
- Individual
- Primary Specialty
- Pharmacist
- Enumeration Date
- November 22, 2007
- Last Updated
- November 22, 2007
Practice Location
- 709 W Union St
- Newark, NY 14513-1357
Phone: (315) 332-0193
Specialties
- Pharmacist (183500000X)
Full Record
- NPI
- 1225219959
- Entity Type
- Individual
- Last Name
- Ellis
- First Name
- John
- Middle Name
- S
- Name Prefix
- Mr.
- Mailing Street Address
- 709 W Union St
- Mailing City
- Newark
- Mailing State
- NY
- Mailing ZIP Code
- 14513-1357
- Mailing Country
- US
- Practice Street Address
- 709 W Union St
- Practice City
- Newark
- Practice State
- NY
- Practice ZIP Code
- 14513-1357
- Practice Country
- US
- Practice Phone
- (315) 332-0193
- Enumeration Date
- November 22, 2007
- Last Updated
- November 22, 2007
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pharmacist (183500000X)